Individual
MS. COLLEEN DEIDRE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
120 96TH ST, #2E, BROOKLYN, NY 11209-7547
(718) 680-5643
Mailing address
120 96TH ST, #2E, BROOKLYN, NY 11209-7547
(718) 680-5643
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
505975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01866875
—
NY
Enumeration date
07/26/2007
Last updated
07/26/2007
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