Individual
MS. MARYELLEN WYLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
NY PRESBYTERIAN HOSPITAL FAMILY PLANNING CLINIC, 21 AUDOBON AVENUE, NYC, NY 10032
(212) 342-3211
Mailing address
145 KENSINGTON RD, RIVER EDGE, NJ 07661-1207
(201) 262-0658
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
FR300369-1
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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