KATHLEEN GANUN RN
Nursing Yellow Pages
Center Moriches, New York
Provider NPI: 1710121819
Provider Information:KATHLEEN GANUN RN
Practice Location:
77 UNION AVE CENTER MORICHES, NY 11934 US
Tel: 631-878-0795 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 163WA2000X | Nursing Service Providers Registered Nurse Administrator | NY | 26-2682906 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
REGISTERED NURSE | 1181623 | NY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin