Gundersen, Mary

Gundersen, Mary is an individual health care provider with primary practice located at 242 Mason Ave Diabetes Education - 1St Floor, Staten Island NY 10305-3408. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Gundersen, Mary can be contacted via phone (718) 226-1547.

Contact Information

Primary practice address
242 Mason Ave Diabetes Education - 1St Floor Staten Island NY 10305-3408
Phone: (718) 226-1547
Fax: (718) 226-1438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 385302-1 New York
Nursing Service Providers / Diabetes Educator 163WD0400X 0942-0278 New York

Profile Details

NPI number 1932436854
LBN Legal business name Gundersen, Mary
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2009
Last updated Nov 13th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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