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Individual

SUSAN ANNE MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
918 ULSTER AVE, KINGSTON, NY 12401-1344
(845) 339-6683
(845) 339-7863
Mailing address
PO BOX 1850, KINGSTON, NY 12402-1850
(845) 339-6683
(845) 339-7863

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
362295
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01078679
NY
01
337249
MEDICARE
NY
Enumeration date
09/16/2008
Last updated
03/05/2015
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