MEDICARE: PATRICIA ANN CONROY

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
1	390200000X	Student in an Organized Health Care Education/Training Program	492161	NY
2	163W00000X	Registered Nurse	492161	NY

General Provider Information

NPI Number	:	1790009801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN CONROY

Provider Business Mailing Address
First Line	:	220 E 42ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5835
Country	:	US
Telephone Number	:	212-609-1937
Fax Number	:	212-290-0140

Provider Business Practice Location Address
First Line	:	220 E 42ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5835
Country	:	US
Telephone Number	:	212-609-1937
Fax Number	:	212-290-0140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	08/14/2025

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Directions to “ PATRICIA ANN CONROY ” Practice Location

Language	Start Address	Practice Location

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