Individual
DEIRDRE MARIE KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1275 YORK AVE, H 1206, NEW YORK, NY 10065-6007
(917) 693-2727
Mailing address
1275 YORK AVE, H 1206, NEW YORK, NY 10065-6007
(917) 693-2727
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007299
NY
Other
Enumeration date
05/28/2008
Last updated
06/19/2014
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