Individual
ERIN MACBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 674-7201
Mailing address
976 MERRICK AVE, MERRICK, NY 11566-1030
(516) 551-9934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348353
NY
Other
Enumeration date
08/29/2021
Last updated
10/20/2022
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