Individual
MRS. CATHERINE ANNE HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 SHERRY ST, EAST ISLIP, NY 11730-2830
(631) 859-1656
Mailing address
170 SHERRY ST, EAST ISLIP, NY 11730-2830
(631) 859-1656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
409075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02902990
—
NY
Enumeration date
04/16/2008
Last updated
04/16/2008
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