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Individual

DANIELLE MCLOUGHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
119 CLEARMEADOW DR, EAST MEADOW, NY 11554-1223
(516) 567-1654
Mailing address
119 CLEARMEADOW DR, EAST MEADOW, NY 11554-1223
(516) 567-1654

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F306220-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F306220-1
LICENSE
NY
Enumeration date
10/28/2012
Last updated
10/28/2012
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