Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 166068 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 166068 | NY |
NPI | 1356348734 |
---|---|
Provider Name | Dr. Mary L. Dunne |
First Address | Rhinebeck, NY 12572-3401 |
Second Address | Poughkeepsie, NY 12601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 26/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00972885 | (05) | NY |
D93259 | (02) |