Individual
MRS. MARY ANN HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1400 PELHAM PKWY S BLDG 5 # 6A, BRONX, NY 10461-1138
(718) 918-3940
(718) 918-7448
Mailing address
1400 PELHAM PKWY S BLDG 5 # 6A, BRONX, NY 10461-1138
(718) 918-3940
(718) 918-7448
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420133
NY
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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