Individual
MARY JUDE O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNBSN
Contact information
Practice address
1267 57TH ST, BROOKLYN, NY 11219-4572
(718) 841-8000
Mailing address
1267 57TH ST, BROOKLYN, NY 11219-4572
(718) 841-8000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
488587
FL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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