Individual
KELLY A VUKSANAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 E 70TH ST, NEW YORK, NY 10021-5405
(212) 434-5102
Mailing address
222 E 70TH ST, NEW YORK, NY 10021-5405
(212) 434-5102
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302303
NY
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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