Individual
MARY CHARLES HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 E 76TH ST, NEW YORK, NY 10021-2700
(212) 794-3550
Mailing address
520 E 86TH ST APT 8B, NEW YORK, NY 10028-7534
(914) 424-7714
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383390
NY
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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