Jonathan Maksumov, FNP
NPI #1063877082 in Forest Hills, New York
Provider Information
- NPI Number
- 1063877082
- Entity Type
- Individual
- Name
- Jonathan Maksumov, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Dec 17, 2015
- Last Updated
- Jun 19, 2019
Practice Location
- Address
- 6405 YELLOWSTONE BLVD APT 101
- City
- Forest Hills
- State
- New York
- ZIP Code
- 11375-1534
- Phone
- (718) 896-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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