Individual
CATHERINE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 WELLINGTON ST, HEMPSTEAD, NY 11550-1811
(516) 589-5504
Mailing address
188 WELLINGTON ST, HEMPSTEAD, NY 11550-1811
(516) 589-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
343704960615E
NY
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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