Mary Ellen Mccormick Kunis in Lindenhurst - Specialist

Mary Ellen Mccormick Kunis - NPI 1720116619

Mary Ellen Mccormick Kunis is a Specialist in Lindenhurst, New York. Mary Ellen Mccormick Kunis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary Ellen Mccormick Kunis is 1720116619. The last update date is 2007-07-25.

Mary Ellen Mccormick Kunis's current location address is 30 Ithaca St, Lindenhurst, New York. You can contact this provider via phone number 6312264361. The mailing address for Mary Ellen Mccormick Kunis is 30 Ithaca St, Lindenhurst, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ellen Mccormick Kunis
Address 30 Ithaca St, Lindenhurst, New York
Phone Number 6312264361
Fax Number
Sole Proprietor Y
Credentials MS.ED

NPI Number Detail

NPI Number 1720116619
Provider Enumeration Date 2007-03-01
Last Updated Date 2007-07-25

Provider Mailing Address Detail

Address 30 Ithaca St
City Lindenhurst
State New York (NY)
Post Code 117573427
Phone Number 6312264361
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mary Ellen Mccormick Kunis

What is the unique 10-digit identification code assigned to Mary Ellen Mccormick Kunis by the Centers for Medicare & Medicaid Services?

The Mary Ellen Mccormick Kunis has been issued the NPI (National Provider Identifier) 1720116619, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mary Ellen Mccormick Kunis is located?

The Mary Ellen Mccormick Kunis is situated at the following address: 30 Ithaca St, Lindenhurst, NY, 117573427.

What is Mary Ellen Mccormick Kunis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary Ellen Mccormick Kunis is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720116619 to Mary Ellen Mccormick Kunis?

The Centers for Medicare & Medicaid Services originally issued the 1720116619 to Mary Ellen Mccormick Kunis on 2007-03-01.

When was the information pertaining to Mary Ellen Mccormick Kunis most recently updated or revised?

The details related to Mary Ellen Mccormick Kunis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-25.

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