Individual
MS. KATHLEEN MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 FIRST AVE, NEW YORK, NY 10016
(212) 263-7411
Mailing address
73- 19 53 AVENUE, MASPETH, NY 11378
(718) 429-5845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301811
NY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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