Individual
RAYMOND J MCGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP
Contact information
Practice address
4900 BROAD RD, @ COMMUNITY GENERAL HOSPITAL ER DEPT., SYRACUSE, NY 13215-2265
(518) 383-5450
(518) 383-4223
Mailing address
3534 HOXIE GORGE RD, MARATHON, NY 13803
(607) 849-4015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
362967-1
NY
363L00000X
Nurse Practitioner
Primary
F330799-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01857092
—
NY
Enumeration date
07/24/2006
Last updated
02/10/2009
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