Individual
MARY ELIZABETH CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
77 HALLOCK LN, ROCKY POINT, NY 11778-8906
(631) 209-9120
Mailing address
77 HALLOCK LN, ROCKY POINT, NY 11778-8906
(631) 209-9120
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
4945011
NY
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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