Individual provider · Type 1 NPI

Regina Shana Kachkoff-Enk, NP

Pediatric Nurse Practitioner · New York, NY

NPI number 1669181392 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Call (212) 305-0114 Map

Mailing address

3959 Broadway Fl 11
New York, NY 10032-1559

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X383268 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669181392

Regina Shana Kachkoff-Enk, NP's National Provider Identifier is 1669181392, issued on Nov 21, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Nov 28, 2022.