Individual
MS. KATHLEEN ANN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NNP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2565
Mailing address
15 BROOK MNR, PLEASANTVILLE, NY 10570-2415
(914) 769-0982
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350029-1
NY
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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