Individual
MS. MARY T NEALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
3703 10TH AVE, NEW YORK, NY 10034-1860
(212) 567-6066
(212) 569-3803
Mailing address
3703 10TH AVE, NEW YORK, NY 10034-1860
(212) 567-6066
(212) 569-3803
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381359
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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