Individual
DARCY MCREDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 669-1921
Mailing address
15 GATE LN, WEST ISLIP, NY 11795-4904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687515
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403631
NY
Other
Enumeration date
05/31/2021
Last updated
11/29/2021
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