Mary Laura Sewatsky, MS, RN, CPNP
Nurse Practitioner in New York, NY. Individual provider (NPI-1).
NPI number1699190892
StatusActive
Last updated in NPPESJul 24, 2014
Details
- NPI
- 1699190892
- Entity type
- Individual (NPI-1)
- Name
- Mary Laura Sewatsky
- Credential
- MS, RN, CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2014
- Last updated
- Jul 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 382387 | NY | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 382387 | NY | |
| 363LP0200X | Nurse Practitioner, Pediatrics | 382387 | NY |
Practice location
180 Fort Washington AveSuite 199
New York, NY 10032-3722
Phone 212-305-3535 · Fax 212-342-1470
Mailing address
180 Fort Washington AveSuite 199
New York, NY 10032-3722
Phone 212-305-3535 · Fax 212-342-1470
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