Individual
MISS DENISE MARIE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
321 E 45TH ST, NEW YORK, NY 10017-3427
(212) 697-5730
Mailing address
321 E 45TH ST, NEW YORK, NY 10017-3427
(212) 697-5730
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
333894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
GOTHAM COMPANIES
NY
Enumeration date
08/13/2010
Last updated
08/13/2010
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