Mary Montefusco, ACNP-BC
Nurse Practitioner, Acute Care in New York, NY. Individual provider (NPI-1).
NPI number1063671972
StatusActive
Last updated in NPPESJun 5, 2008
Details
- NPI
- 1063671972
- Entity type
- Individual (NPI-1)
- Name
- Mary Montefusco
- Credential
- ACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2008
- Last updated
- Jun 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 430358 | NY | Yes |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-6939
Mailing address
1275 York AveNew York, NY 10065-6007
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