Individual
IVONNE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2006 MADISON AVE FL 1, NEW YORK, NY 10035-1217
(415) 722-7785
Mailing address
1894 WALTON AVE, BRONX, NY 10453-6018
(718) 583-3060
(718) 583-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
260241
MA
207Q00000X
Family Medicine Physician
Primary
290743
NY
Other
Enumeration date
04/16/2014
Last updated
07/21/2022
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