Individual
MISS MARY CAROLINE DURKEE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
(212) 659-6800
Mailing address
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
628365-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430628
NY
Other
Enumeration date
12/04/2011
Last updated
03/20/2014
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