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Individual

MADELEINE SEDLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
851516
NY
163W00000X
Registered Nurse
RN2328803
MA
363L00000X
Nurse Practitioner
Primary
404502
NY
363L00000X
Nurse Practitioner
RN2328803
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2328803
MA

Other

Enumeration date
09/18/2019
Last updated
08/07/2024
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