Individual
MAUREEN VERONICA MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 DARK HOLLOW RD, PORT JEFFERSON, NY 11777-2048
(631) 473-5400
Mailing address
2820 SHIPYARD LN, UNIT 3M, EAST MARION, NY 11939-1259
(631) 477-2489
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340175
NY
Other
Enumeration date
05/22/2007
Last updated
10/23/2011
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