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Organization
REGISTERED NURSE
Active
Organization
REGISTERED NURSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA ANN KENNEDY (REGISTERED NURSE)
(718) 617-9077
Entity
Organization
Contact information
Practice address
875 MORRISON AVE APT 4D, BRONX, NY 10473-4415
(718) 617-9077
Mailing address
875 MORRISON AVE APT 4D, BRONX, NY 10473-4415
(718) 617-9077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242977
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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