Individual
EILEEN PATRICIA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
46 LOUISIANA ST, LONG BEACH, NY 11561-1218
(602) 769-0146
Mailing address
46 LOUISIANA ST, LONG BEACH, NY 11561-1218
(602) 769-0146
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404833-01
NY
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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