Individual
MRS. MAUREEN KATHLEEN PATRICKAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21 PRINCETON ST, GARDEN CITY, NY 11530-4005
(516) 437-1915
Mailing address
21 PRINCETON ST, GARDEN CITY, NY 11530-4005
(516) 437-1915
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430496
NY
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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