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Individual

GAELLE DENNERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3305 FOSTER AVE, BROOKLYN, NY 11210-6407
(123) 456-7890
Mailing address
338 VAN NOSTRAND AVE, JERSEY CITY, NJ 07305-1309
(347) 285-1565

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
709444
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404697
NY

Other

Enumeration date
12/14/2021
Last updated
01/19/2023
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