Individual
MONA DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
150 ESSEX ST, COMMUNITY HEALTHCARE NETWORK, NEW YORK, NY 10002
(212) 545-2400
Mailing address
13 BRUCE LN, VALHALLA, NY 10595-1301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
588543
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
305057
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000695941
—
NY
Enumeration date
08/26/2009
Last updated
09/06/2018
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