Mcdonough, Kristin Rose

Mcdonough, Kristin Rose is an individual health care provider with primary practice located at 55 E Old Country Rd , Hicksville NY 11801-4293. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mcdonough, Kristin Rose can be contacted via phone (169) 876-4285.

Contact Information

Primary practice address
55 E Old Country Rd Hicksville NY 11801-4293
Phone: (169) 876-4285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 026791 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 026791 New York

Profile Details

NPI number 1639741846
LBN Legal business name Mcdonough, Kristin Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Nov 10th, 2023 - about 2 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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