Gannon, Maryann E.

Gannon, Maryann E. is an sole proprietor health care provider with primary practice located at 410 Lakeville Rd , New Hyde Park NY 11042-1101. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Nursing Service Providers / Registered Nurse is her primary health care specialty. Gannon, Maryann E. can be contacted via phone (516) 465-5400.

Contact Information

Primary practice address
410 Lakeville Rd New Hyde Park NY 11042-1101
Fax: (516) 465-5454
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 271102 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F334186 New York

Profile Details

NPI number 1750409538
LBN Legal business name Gannon, Maryann E.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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