Doctor Name: | MARIE E CAHILL |
NPI Number: | 1073873717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 305969 |
Business Practice Address: | 3304 93rd St #1w Jackson Heights, NY - 113721941 |
Business Phone Number: | 7183354747 |
Business Fax Number: | 7184762626 |
Mailing Address: | 3304 93rd St, #1w JACKSON HEIGHTS |
State: | NY |
Postal Code: | 113721941 |
Phone Number: | 7183354747 |
Fax Number: | 7184762626 |
NPI Enumeration Date: | 05/28/2012 |
NPI Last Update Date: | 05/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 305969 |
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: |