Individual
MAUREEN KELLY HENEGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAUREEN HENEGHAN, PA
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014540
NY
Other
Enumeration date
12/29/2010
Last updated
03/31/2021
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