Individual
SIOBHAN MARY CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(212) 305-4318
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
697354
NY
Other
Enumeration date
07/09/2020
Last updated
10/27/2024
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