| Doctor Name: | MRS. SALLY CATHERINE MONAHAN |
| NPI Number: | 1811002868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | F332909-1 |
| Business Practice Address: | 44210 County Road 48 Southold, NY - 119715032 |
| Business Phone Number: | 6317654150 |
| Business Fax Number: | 6317654688 |
| Mailing Address: | Po Box 1341, SOUTHOLD |
| State: | NY |
| Postal Code: | 119710963 |
| Phone Number: | 6318521803 |
| Fax Number: | 6318523723 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | F332909-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |