Individual
MRS. MARJORIE COOK TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 CALKINS PL, TICONDEROGA, NY 12883-1510
(518) 585-7400
(518) 585-4076
Mailing address
5 CALKINS PL, TICONDEROGA, NY 12883-1510
(518) 585-7400
(518) 585-4076
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
389492403
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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