Individual
MARY KATHLEEN HAYDEN AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2052
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041402701
IL
163W00000X
Registered Nurse
761619-01
NY
367500000X
Certified Registered Nurse Anesthetist
209018748
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
761619-01
NY
Other
Enumeration date
01/30/2019
Last updated
11/25/2024
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