Individual
EVA MARDONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 E 90TH ST, APT. 2B, NEW YORK, NY 10128-5140
(650) 201-4353
Mailing address
110 E 59TH ST RM 8B, NEW YORK, NY 10022-1359
(212) 434-4972
(212) 434-4974
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306940-1
NY
Other
Enumeration date
07/16/2014
Last updated
01/01/2019
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