Individual
MS. MARYANN B POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 W OLIVE ST, LONG BEACH, NY 11561-3410
(516) 432-5769
Mailing address
59 W OLIVE ST, LONG BEACH, NY 11561-3410
(516) 432-5769
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400136
NY
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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