Individual
TERRENCE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
68 SOUTH SERVICE ROAD, SUITE #350, MELVILLE, NY 11747
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8296
NY
Other
Enumeration date
09/25/2006
Last updated
03/31/2015
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