Provider Demographics
NPI:1871800680
Name:MUKAI, MARGRET KYOKO (FNP)
Entity type:Individual
Prefix:
First Name:MARGRET
Middle Name:KYOKO
Last Name:MUKAI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HAWLEY ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-3903
Mailing Address - Country:US
Mailing Address - Phone:607-723-5130
Mailing Address - Fax:607-723-4087
Practice Address - Street 1:37 DIETZ ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1882
Practice Address - Country:US
Practice Address - Phone:607-432-2250
Practice Address - Fax:607-432-7206
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336445-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily