Individual
MRS. SANDRA ALEXIS MCTIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1873 HART ST FL 2, RIDGEWOOD, NY 11385-1122
(917) 554-5765
Mailing address
1873 HART ST FL 2, RIDGEWOOD, NY 11385-1122
(917) 554-5765
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
682709-1
NY
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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