Individual
MARIA MOOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 NOTT ST, B2, SCHENECTADY, NY 12308-2425
(518) 243-1626
(518) 243-1438
Mailing address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007298
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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