Most Relevant Information
Provider Data
NPI Number: | 1003181991 |
Provider Name: | MARY DESKOVICH R.N. |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 460125-1 |
Most Important Dates
Enumeration Date: | 03/12/2012 |
Last Updated: | 03/12/2012 |
Provider Practice Location
21 JUMEL PL
ROOM A132
NEW YORK
NY
100324316
Practice Location Phone/Fax
Phone: | 2123422501 |
Fax: | 2127813985 |
Provider Mailing Location
21 JUMEL PL
ROOM A132
NEW YORK
NY
100324316
Provider Mailing Phone/Fax
Phone: | 2123422501 |
Fax: | 2127813985 |