Individual
MARINA MEHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 BROADWAY AVE, SAYVILLE, NY 11782-1619
(646) 276-2713
Mailing address
103 BROADWAY AVE, SAYVILLE, NY 11782-1619
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
7649961
NY
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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