Individual
DOREEN ELIZABETH HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
124 HOBART ST, EAST ISLIP, NY 11730-3402
(631) 767-3189
Mailing address
23 9TH ST, LK RONKONKOMA, NY 11779-5409
(631) 767-3189
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
355414
NY
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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