Individual
MRS. MARYANN HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6125 MARATHON PKWY, LITTLE NECK, NY 11362-2042
(718) 224-8060
(718) 224-5914
Mailing address
6125 MARATHON PKWY, LITTLE NECK, NY 11362-2042
(718) 224-8060
(718) 224-5914
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
223030-1
NY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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