Individual
KATIE ELLEN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
26 WILLOW LN, NEW WINDSOR, NY 12553-7308
(845) 239-2595
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382997
NY
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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