Individual
MS. MAVERLY VIOLA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 UNION SQ 2ND FL, PHILLIPS AMBULATORY CARE CENTER, NEW YORK, NY 10003
(212) 420-2000
Mailing address
10 UNION SQ 2ND FL, PHILLIPS AMBULATORY CARE CENTER, NEW YORK, NY 10003
(212) 420-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334571
NY
Other
Enumeration date
10/20/2006
Last updated
07/23/2019
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