Individual
PATRICK MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56-45 MAIN ST, FLUSHING, NY 11355
(718) 670-2000
Mailing address
44 KINGSWOOD DR, BETHEL, CT 06801-1840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107076
CT
367500000X
Certified Registered Nurse Anesthetist
137514
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
137514
NY
Other
Enumeration date
08/01/2021
Last updated
11/14/2024
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