Individual
DOROTHY MCLOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18 MOODY PL, STATEN ISLAND, NY 10310-1632
(718) 873-4812
Mailing address
18 MOODY PL, STATEN ISLAND, NY 10310-1632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345700
NY
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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