Individual
PATRICIA MARY CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA, PCA
Contact information
Practice address
27 GOOSEBERRY RD, MASTIC BEACH, NY 11951-6335
(631) 316-9760
Mailing address
27 GOOSEBERRY RD, MASTIC BEACH, NY 11951-6335
(631) 316-9760
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
NY
374U00000X
Home Health Aide
Primary
00310022
NY
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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