Organization
DEPARTMENT OF EDUCATION
Active
Other names
No
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE MARY MCDERMOTT R/N (STAFF NURSE)
(718) 746-0396
Entity
Organization
Contact information
Practice address
147 27 15TH DR., 25Q079, QUEENS, NY 11357
(718) 746-0396
Mailing address
147-27 15TH DR., PS79, QUEENS, NY 11357
(718) 746-0396
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
438358-1
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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