Individual
MEAGHAN BARRACOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992-2295
(845) 496-5437
Mailing address
164 SHORE DR, NEW WINDSOR, NY 12553-5486
(845) 248-3745
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383394-01
NY
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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