Organization
INDEPENDENT STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MCNALLY (RN)
(631) 806-9056
Entity
Organization
Contact information
Practice address
56 SCRANTON AVE, PORT JEFFERSON STATION, NY 11776-3376
(631) 806-9056
(631) 403-4760
Mailing address
56 SCRANTON AVE, PORT JEFFERSON STATION, NY 11776-3376
(631) 806-9056
(631) 403-4760
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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