Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 301525 | NY |
Y | 363LA2200X | Nurse Practitioner - Adult Health | F301525 | NY |
NPI | 1003097874 |
---|---|
Provider Name | Mrs. Anne Marie Mcgrath |
First Address | Smithtown, NY 11787-2916 |
Second Address | Smithtown, NY 11787-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2007 |
Last Update Date | 23/06/2017 |