Mary Clancy
Nurse Practitioner
8900 Van Wyck Expy Jhmc Er
Jamaica
, New York 11418-2897
Mary Clancy
Nurse Practitioner
8900 Van Wyck Expy Jhmc Er
Jamaica
, New York 11418-2897
(631) 454-4163
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mary Clancy
- 80 Marcus Dr
- Melville, NY
- Zip : 11747-4230
- Fax : (631) 454-4163
- Phone : (631) 391-7889
Second Address
- Mary Clancy
- 8900 Van Wyck Expy Jhmc Er
- Jamaica, NY
- Zip : 11418-2897
- Phone : (718) 206-6000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F300249 | NY |
National Provider Identifier
| NPI | 1013068964 |
|---|---|
| Provider Name | Mary Clancy |
| First Address | Melville, NY 11747-4230 |
| Second Address | Jamaica, NY 11418-2897 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02227214 | (05) | NY |
| S82152 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.