Individual
MRS. EVA MACDOWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 664-0302
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2884
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400946-1
NY
Other
Enumeration date
02/05/2008
Last updated
07/26/2019
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