Individual
MRS. AGNES JOSEPHINE MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2 SICKLETOWN RD, PEARL RIVER, NY 10965-2864
(845) 620-9450
Mailing address
2 SICKLETOWN RD, PEARL RIVER, NY 10965-2864
(845) 620-9450
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2385131
NY
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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