Individual
MAUREEN MCKIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
60 HAVEN AVE, NEW YORK, NY 10032-2604
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA12722600
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
336148
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
01/05/2026
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