Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 307089 | NY |
NPI | 1013460351 |
---|---|
Provider Name | Margaret M Sheehan |
First Address | Woodmere, NY 11598-1216 |
Second Address | Woodmere, NY 11598-1216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2016 |
Last Update Date | 03/08/2016 |