Healthcare Provider Details

I. General information

NPI: 1942451620
Provider Name (Legal Business Name): DENISE MCGARRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE GARCIA NP

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY SUITE777
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

110 BAY ST
BRONX NY
10464-1361
US

V. Phone/Fax

Practice location:
  • Phone: 617-319-2959
  • Fax:
Mailing address:
  • Phone: 617-319-2959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number350291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: