Individual
CETA MCVEIGH-GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 HONE AVE, BRONX, NY 10469-3807
(347) 757-9486
Mailing address
3235 HONE AVE, BRONX, NY 10469-3807
(347) 757-9486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335250
NY
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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