Provider Demographics
NPI:1437786977
Name:MF FAMILY HEALTH NP PC
Entity Type:Organization
Organization Name:MF FAMILY HEALTH NP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-285-4440
Mailing Address - Street 1:2627 HYLAN BLVD # D2
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4344
Mailing Address - Country:US
Mailing Address - Phone:718-285-4440
Mailing Address - Fax:718-285-4459
Practice Address - Street 1:2076 HYLAN BLVD STE I
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3427
Practice Address - Country:US
Practice Address - Phone:718-979-4865
Practice Address - Fax:718-979-1842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF339405-1OtherSTATE LICENSE