Individual
MAUREEN MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 W ERIE ST, BLAUVELT, NY 10913-1353
(845) 300-8781
Mailing address
65 W ERIE ST, BLAUVELT, NY 10913-1353
(845) 300-8781
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
346762-1
NY
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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