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Individual

MS. CATHERINE FLORENCE HANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1571 MEADOWBROOK RD, MERRICK, NY 11566-1920
(631) 901-3357
Mailing address
1571 MEADOWBROOK RD, MERRICK, NY 11566-1920
(631) 901-3357

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
207735
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01494031
NY
Enumeration date
05/14/2008
Last updated
05/14/2008
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