Individual
MARY B GEOGHEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 BROADWAY, VNSNY CHOICE 21ST FLOOR, NEW YORK, NY 10001
(212) 609-1800
(212) 714-2982
Mailing address
1250 BROADWAY, VNSNY CHOICE 21ST FLOOR, NEW YORK, NY 10001-3701
(212) 260-9180
(212) 714-2982
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340705
NY
Other
Enumeration date
11/24/2008
Last updated
07/27/2012
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