Individual
MS. CONSTANCE ISABELLA MCKILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 W 61ST ST, NEW YORK, NY 10023-7835
(212) 245-2807
Mailing address
227 W 61ST ST, NEW YORK, NY 10023-7835
(212) 245-2807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
330667-1
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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