Individual
MS. EILEEN MARIE HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39 IRON WOOD STREET, ISLIP, NY 11751
(631) 277-8779
Mailing address
39 IRON WOOD STREET, ISLIP, NY 11751
(631) 277-8779
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302838
NY
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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