Individual
MS. KATHERINE MARY MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
21 JUMEL PL, NEW YORK, NY 10032-4316
(212) 923-1495
Mailing address
231 W 21ST ST APT 4E, NEW YORK, NY 10011-3118
(212) 255-9263
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380517-1
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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