Provider Demographics
NPI:1467642587
Name:CONNAIRE, KATHLEEN PATRICIA (DNP)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:PATRICIA
Last Name:CONNAIRE
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Gender:F
Credentials:DNP
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Mailing Address - Street 1:177 FT WASHINGTON AVE
Mailing Address - Street 2:MILSTEIN HOSPITAL FHN ROOM 102 COLUMBIA PRES MEDICAL CE
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-342-6884
Mailing Address - Fax:212-305-7178
Practice Address - Street 1:177 FT WASHINGTON AVE
Practice Address - Street 2:MILSTEIN HOSPITAL FHN ROOM 102 COLUMBIA PRES MEDICAL CE
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-6884
Practice Address - Fax:212-305-7178
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF303259282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital