Individual
MARY JANE JANE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
38 GELDNER AVE, STATEN ISLAND, NY 10306-1331
(347) 538-7159
Mailing address
38 GELDNER AVE, STATEN ISLAND, NY 10306-1331
(347) 538-7159
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
676408-1
NY
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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