Marie Booker Mccullough NP

NPI 1679731814 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1679731814
Gender Female
Enumeration Date 05/23/2008
Last Updated 05/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1 GUSTAVE L LEVY PL
NEW YORK NY, 10029-6500, US
Phone (212) 241-8456
Fax (212) 426-5107
Business Location
779 CONCOURSE VLG E
APT. 1D
BRONX NY, 10451-3705, US
Phone (212) 241-8456
Fax (212) 426-5107
Toxanomy
Taxonomy Code 363LP0808X
License State New York
License Number F400350
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According to our database, Ms. Marie Booker Mccullough NP NPI is 1679731814, taxonomy code is 363LP0808X and license number is F400350, license state is located at New York. Marie Booker Mccullough NP physically located at 1 Gustave L Levy Pl, New York NY, 10029-6500. NPI Number Marie Booker Mccullough NP has the Individual type.

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1679731814 NPI number is provided on an as is basis without warranty of any kind. 1679731814 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Booker Mccullough NP are for informational purposes only.