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Individual

THERESE MC KIERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1110 CATHEDRAL AVE, FRANKLIN SQUARE, NY 11010-2751
(347) 537-9305
Mailing address
1110 CATHEDRAL AVE, FRANKLIN SQUARE, NY 11010-2751
(347) 537-9305

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
422391
NY

Other

Enumeration date
08/07/2017
Last updated
07/21/2022
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