Therese Mc Kiernan, NP | |
1110 Cathedral Ave, Franklin Square, NY 11010-2751 | |
(347) 537-9305 | |
Not Available |
Full Name | Therese Mc Kiernan |
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Gender | Female |
Speciality | Registered Nurse - General Practice |
Location | 1110 Cathedral Ave, Franklin Square, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760907141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 422391 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Therese Mc Kiernan, NP 1110 Cathedral Ave, Franklin Square, NY 11010-2751 Ph: (347) 537-9305 | Therese Mc Kiernan, NP 1110 Cathedral Ave, Franklin Square, NY 11010-2751 Ph: (347) 537-9305 |
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