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Individual

MARY MONTEFUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6939
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430358
NY

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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