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Individual

MRS. ELENA O'ROURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-3300
(646) 537-8610
Mailing address
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029-6504
(212) 987-3100
(212) 731-5210

Taxonomy

Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
643958
NY
363L00000X
Nurse Practitioner
Primary
339972
NY

Other

Enumeration date
03/24/2015
Last updated
02/26/2019
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