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Individual

MISS KELLY LORRAINE ANN MCNAMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, BSN, NP RN ANCC

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
301 IRON FORGE LN, NEW WINDSOR, NY 12553-1201
(917) 670-0692

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
658680-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432126
NY

Other

Enumeration date
07/19/2021
Last updated
09/07/2021
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