Individual
TERRI ANN COONRAD-HERSHKOWITZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP-P
Contact information
Practice address
370 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 471-1807
(845) 471-1815
Mailing address
370 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 471-1807
(845) 471-1815
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400277-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205501
MVP
NY
Enumeration date
05/26/2006
Last updated
07/08/2007
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