Individual
MARY ELLEN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 CARMAN AVE, CEDARHURST, NY 11516-1905
(516) 295-7230
(516) 295-7232
Mailing address
74 CARMAN AVE., CEDARHURST, NY 11516
(516) 295-7230
(516) 295-7232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
454964-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402098
NY
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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