Individual
MAGDALENA HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 MONTAUK HWY, QUOGUE, NY 11959-4000
(631) 653-6000
Mailing address
33 LAMA DR, SHIRLEY, NY 11967-3327
(631) 804-8069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310386
NY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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