Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F 400342 | NY |
NPI | 1003159823 |
---|---|
Provider Name | Margaret Mccarthy Glover |
First Address | New York, NY 10016-9415 |
Second Address | New York, NY 10016-9415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 06/11/2014 |