Individual
MS. MARY THERESE WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
207 W 133RD ST, NEW YORK, NY 10030-3201
(212) 281-1248
Mailing address
207 W 133RD ST, NEW YORK, NY 10030-3201
(212) 281-1248
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
234242-1
NY
Other
Enumeration date
11/26/2014
Last updated
02/13/2015
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