Organization
VIRGINIA MAHNKEN MS, RN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA MAHNKEN MS, RN (REGISTERED NURSE)
(631) 317-3085
Entity
Organization
Contact information
Practice address
475 CLUBHOUSE DR, PATCHOGUE, NY 11772-8205
(631) 317-3085
(631) 317-3085
Mailing address
475 CLUBHOUSE DR, PATCHOGUE, NY 11772-8205
(631) 317-3085
(631) 317-3085
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
399791-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WHO200X
—
NY
Enumeration date
02/28/2017
Last updated
02/28/2017
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