Individual provider · Type 1 NPI

Moshe A. Mayfield, NURSE PRACTITIONER

Adult Health Nurse Practitioner · New York, NY

NPI number 1770965436 Active

Practice location

211 E 79th St
New York, NY 10075-0819

Mailing address

2025 Crescent St, 2B
Astoria, NY 11105-4316

Other practice locations

  • 676 Pelham Rd, New Rochelle, NY 10805-1038 · (914) 632-9600
  • 14461 38th Ave, Flushing, NY 11354-5935 · (718) 939-7500

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X695125 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF309119 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1770965436

Moshe A. Mayfield, NURSE PRACTITIONER's National Provider Identifier is 1770965436, issued on Jun 18, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jul 28, 2019.