Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | F350184 | NY |
NPI | 1083874986 |
---|---|
Provider Name | Cathy A Hanna-Talbot |
First Address | Islip, NY 11751-4125 |
Second Address | Islip, NY 11751-4125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 29/10/2009 |