Doctor Name: | MRS. ANNE MARIE MCGRATH |
NPI Number: | 1003097874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 301525 |
Business Practice Address: | 2500 Nesconset Hwy Building 20a Stony Brook, NY - 117902555 |
Business Phone Number: | 6312466100 |
Business Fax Number: | 6312469464 |
Mailing Address: | 2500 Nesconset Hwy, Building 20a STONY BROOK |
State: | NY |
Postal Code: | 117902555 |
Phone Number: | 6312466100 |
Fax Number: | 6312469464 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 11/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 301525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |