MEDICARE: MARGARET MCCARTHY GLOVER RN NPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F 400342	NY

General Provider Information

NPI Number	:	1003159823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET MCCARTHY GLOVER RN NPP

Provider Business Mailing Address
First Line	:	300 E 33RD ST APT 12L
Second Line	:	APT 12L
City	:	NEW YORK
State	:	NY
Zip	:	10016-9415
Country	:	US
Telephone Number	:	917-509-6076
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E 33RD ST APT 12L
Second Line	:	APT 12L
City	:	NEW YORK
State	:	NY
Zip	:	10016-9415
Country	:	US
Telephone Number	:	917-509-6076
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	11/06/2014

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