Individual
MAUREEN A KEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MMC - DEPT. OF MED. (GASTRO), 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4846
Mailing address
10 MAGNOLIA DR, CHESTER, NY 10918-4310
(718) 920-4846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F302194
NY
Other
Enumeration date
10/19/2006
Last updated
08/11/2010
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