Individual
MS. MARY GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
242 MASON AVE, DIABETES EDUCATION - 1ST FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1547
(718) 226-1438
Mailing address
242 MASON AVE, DIABETES EDUCATION - 1ST FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-1547
(718) 226-1438
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
0942-0278
NY
163WD0400X
Diabetes Educator Registered Nurse
Primary
385302-1
NY
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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