Individual
MS. BARBARA ANN OGRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
197 HAWTHORNE ROAD, KINGS PARK, NY 11754
(631) 656-6312
Mailing address
100 WALNUT STREET, LAKE GROVE, NY 11755
(631) 656-6312
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
483797-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01999384
—
NY
Enumeration date
08/12/2008
Last updated
08/12/2008
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