Mcgonagle, Mary Reilly

Mcgonagle, Mary Reilly is an individual health care provider with primary practice located at 133 Park St , Malone NY 12953-1243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcgonagle, Mary Reilly can be contacted via phone (518) 483-3000.

Contact Information

Primary practice address
133 Park St Malone NY 12953-1243
Phone: (518) 483-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334888 New York

Profile Details

NPI number 1528091436
LBN Legal business name Mcgonagle, Mary Reilly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528091436 NPPES
New York Other MM1392911 DE A
New York Other RB1161 DE A

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