Individual
MARY SKELLY MCDONAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.G.N.P.
Contact information
Practice address
43 GREENRIDGE AVE, GARDEN CITY, NY 11530-1013
(516) 582-9626
Mailing address
43 GREENRIDGE AVE, GARDEN CITY, NY 11530
(516) 582-9626
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307745
NY
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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