Individual
MAYFIELD MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 CONVENT AVE, NEW YORK, NY 10027-7556
(212) 283-0496
Mailing address
71 CONVENT AVE, NEW YORK, NY 10027-7556
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
533198-1
NY
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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