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Individual

DR. DEIRDRE MARIE CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 PARK AVE, NEW YORK, NY 10016-3075
(212) 679-4134
(212) 679-7079
Mailing address
21 E 37TH ST, NEW YORK, NY 10016-3001
(212) 779-9485
(646) 837-0808

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
190888
NY

Other

Enumeration date
08/09/2006
Last updated
07/24/2008
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