Individual
MARY LAURA SEWATSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Contact information
Practice address
180 FORT WASHINGTON AVE, SUITE 199, NEW YORK, NY 10032-3722
(212) 305-3535
(212) 342-1470
Mailing address
180 FORT WASHINGTON AVE, SUITE 199, NEW YORK, NY 10032-3722
(212) 305-3535
(212) 342-1470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
382387
NY
363LA2200X
Adult Health Nurse Practitioner
382387
NY
363LP0200X
Pediatric Nurse Practitioner
382387
NY
Other
Enumeration date
02/25/2014
Last updated
07/24/2014
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