Organization
COLLEEN MCEVOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN ELIZABETH MCEVOY (RN)
(631) 235-1739
Entity
Organization
Contact information
Practice address
58 SAMPSON AVE, ISLANDIA, NY 11749-6142
(631) 235-1739
Mailing address
58 SAMPSON AVE, ISLANDIA, NY 11749-6142
(631) 235-1739
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
533285
NY
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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