Individual
COLLEEN MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
184 MURIEL ST, HOLBROOK, NY 11741-4614
(631) 747-2574
Mailing address
184 MURIEL ST, HOLBROOK, NY 11741-4614
(631) 747-2574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
628349-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628349-1
—
NY
Enumeration date
09/23/2010
Last updated
09/23/2010
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