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NPI Code Detail

MEDICARE: MARY C HOWSEN

MEDICARE:   MARY C HOWSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse208116-1NY

General Provider Information

NPI Number : 1053879726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY C HOWSEN
Provider Business Mailing Address
First Line : 3926 DURYEA AVE
Second Line :
City : BRONX
State : NY
Zip : 10466-2441
Country : US
Telephone Number : 646-488-0867
Fax Number :
Provider Business Practice Location Address
First Line : 3926 DURYEA AVE
Second Line :
City : BRONX
State : NY
Zip : 10466-2441
Country : US
Telephone Number : 646-488-0867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2019
Last Update Date : 03/12/2019

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Directions to “ MARY C HOWSEN ” Practice Location

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