Mccarthy, Maryellen
Mccarthy, Maryellen is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mccarthy, Maryellen can be contacted via phone (631) 473-1320.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 686-7653
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F300913 | New York |
Profile Details
NPI number | 1548341506 |
---|---|
LBN Legal business name | Mccarthy, Maryellen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | Apr 30th, 2015 - about 10 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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