Individual
MS. ELLEN MCTIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS NP
Contact information
Practice address
450 CLARKSON AVE, BOX 24, BROOKLYN, NY 11226
(718) 270-2953
(718) 270-4173
Mailing address
495 RUGBY RD, BROOKLYN, NY 11226
(718) 270-2953
(718) 270-4173
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
420316
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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