Individual
CORDELL LAFERNE MAULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 E 42ND ST, FL 6, NEW YORK, NY 10017-5831
(646) 453-6900
(646) 524-8323
Mailing address
11607 220TH ST, CAMBRIA HEIGHTS, NY 11411-1624
(718) 527-3477
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305590-1
NY
Other
Enumeration date
05/22/2014
Last updated
05/24/2022
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