Individual
MARY KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
462 FIRST AVE, NEW YORK, NY 10016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
262161
NY
Other
Enumeration date
05/03/2010
Last updated
05/17/2017
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