Individual
NICOLE MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3292 ELLIOTT BLVD, OCEANSIDE, NY 11572-3612
(516) 359-5677
Mailing address
3292 ELLIOTT BLVD, OCEANSIDE, NY 11572-3612
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
352239
NY
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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