Individual
MRS. KRISTEN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-1851
Mailing address
55 TIMBER RIDGE DR, CORAM, NY 11727-2443
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9445304
NY
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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