Individual
MARYANN DASSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
525 EAST 68TH STREET, BAKER 15, NEW YORK, NY 10065
(646) 659-1658
Mailing address
80 PARK AVE APT 15P, NEW YORK, NY 10016-2547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431513
NY
Other
Enumeration date
10/17/2019
Last updated
01/30/2020
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