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NPI Code Detail

MEDICARE: MRS. MAUREEN ANNE BOLLER DELANEY NPP

MEDICARE:  MRS. MAUREEN ANNE BOLLER DELANEY  NPP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF400514 - 1NY

General Provider Information

NPI Number : 1629052972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAUREEN ANNE BOLLER DELANEY NPP
Provider Business Mailing Address
First Line : 314 FOSTER AVE
Second Line :
City : SAYVILLE
State : NY
Zip : 11782-3153
Country : US
Telephone Number : 917-837-2551
Fax Number : 718-565-8419
Provider Business Practice Location Address
First Line : 75-20 ASTORIA BLVD.
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11370
Country : US
Telephone Number : 718-888-6794
Fax Number : 718-565-8392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 09/17/2009

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Directions to “ MRS. MAUREEN ANNE BOLLER DELANEY NPP” Practice Location

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