Individual
MARY ELLEN MITCHELL HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
211 E 43RD ST RM 1305, NEW YORK, NY 10017-4779
(646) 899-8237
Mailing address
211 E 43RD ST RM 1305, NEW YORK, NY 10017-4779
(646) 899-8237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
353420-1
NY
163W00000X
Registered Nurse
88186
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402319
NY
Other
Enumeration date
06/30/2017
Last updated
10/18/2019
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