Individual
MRS. JENNIFER LYNN MAHEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
70 DUBOIS STREET, ST LUKES HOSPITAL, NEWBURGH, NY 12550
(845) 561-4400
Mailing address
109 DENNISTON DRIVE, NEW WINDSOR, NY 12553
(845) 779-2804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553704
NY
163W00000X
Registered Nurse
553704-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
93724
NY
Other
Enumeration date
09/27/2013
Last updated
07/12/2023
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