Provider Demographics
NPI:1609287796
Name:MAKHOULIAN, BEATRIZ CRISTINA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:CRISTINA
Last Name:MAKHOULIAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21 GREENWAY
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1351
Mailing Address - Country:US
Mailing Address - Phone:917-721-6828
Mailing Address - Fax:516-741-4383
Practice Address - Street 1:7901 BROADWAY
Practice Address - Street 2:ATTENTION NURSING OFFICE - ROOM A1-28
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1329
Practice Address - Country:US
Practice Address - Phone:718-334-1921
Practice Address - Fax:718-334-3432
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338692-1261QP2300X, 261QS1000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health