Individual
KELLYANN ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-4755
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(203) 415-9386
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383735-01
NY
Other
Enumeration date
08/05/2024
Last updated
10/16/2024
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