Individual
JACQUELINE CONNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
560 1ST AVE # 11EAST, NEW YORK, NY 10016-6402
(212) 263-7000
Mailing address
55 HOPE ST APT 214, BROOKLYN, NY 11211-4865
(914) 629-1431
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F309271-01
NY
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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