Individual
MRS. EMILY MARIE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 965-3615
Mailing address
1685 ROLAND AVE, WANTAGH, NY 11793-2844
(516) 965-3615
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012455
NY
Other
Enumeration date
04/26/2008
Last updated
08/03/2015
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