Individual
MS. ANNAMAE CONRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 675-4149
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 675-4149
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685803
—
NY
Enumeration date
05/04/2006
Last updated
07/08/2007
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