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Individual

MS. MARIANNE MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-8972
Mailing address
808 COLUMBUS AVE APT 8C, NEW YORK, NY 10025-5152

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431175
NY

Other

Enumeration date
11/17/2017
Last updated
11/17/2017
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