Popcun, Mary Anne

Popcun, Mary Anne is an individual health care provider with primary practice located at 26901 76Th Ave , New Hyde Park NY 11040-1433. 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. Popcun, Mary Anne can be contacted via phone (718) 470-3000.

Contact Information

Primary practice address
26901 76Th Ave New Hyde Park NY 11040-1433
Phone: (718) 470-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F380643 New York

Profile Details

NPI number 1144371865
LBN Legal business name Popcun, Mary Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 5th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144371865 NPPES
New York MEDICAID 02245114

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