Individual
CYNTHIA O'HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 PARK CT, STATEN ISLAND, NY 10301-3411
(646) 732-1771
Mailing address
29 PARK CT, STATEN ISLAND, NY 10301-3411
(646) 732-1771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
479967-1
NY
163WS0200X
School Registered Nurse
Primary
479967-1
NY
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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