Individual
MARY C MCGUINNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2736
(201) 447-8267
Mailing address
40 PRAIRIE AVE, SUFFERN, NY 10901-6231
(914) 261-5198
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00681900
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00681900
NJ
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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