Individual
MAURA NOEL KIERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1405 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
(516) 484-6777
(516) 484-0037
Mailing address
1405 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
(516) 484-6777
(516) 484-0037
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304004-1
NY
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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