Individual
PIERCE KATAHDIN DIMAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-7340
Mailing address
415 E 72ND ST APT 2FE, NEW YORK, NY 10021-0099
(207) 812-6697
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433077
NY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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