Individual
MS. ELLEN MARY MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
4419 3RD AVE, BRONX, NY 10457-2562
(718) 364-7700
(718) 364-7700
Mailing address
147 NEW HOLLAND VLG, NANUET, NY 10954-2444
(845) 623-1961
(718) 901-6880
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
000704
NY
283Q00000X
Psychiatric Hospital
000704
NY
Other
Enumeration date
01/13/2009
Last updated
03/17/2018
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