Individual
MRS. VERONICA KENAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 S GOFF AVE, STATEN ISLAND, NY 10309-3418
(718) 227-5399
Mailing address
80 S GOFF AVE, STATEN ISLAND, NY 10309-3418
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
318143
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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