Healthcare Provider Details

I. General information

NPI: 1043542558
Provider Name (Legal Business Name): MARGARET WHELAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HEMPSTEAD AVE
ROCKVILLE CENTRE NY
11570-1135
US

IV. Provider business mailing address

847 W PARK AVE
LONG BEACH NY
11561-1618
US

V. Phone/Fax

Practice location:
  • Phone: 516-678-5000
  • Fax:
Mailing address:
  • Phone: 516-431-3458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number332540
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: