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NPI Code Detail

MEDICARE: MARY P FURLONG NP

MEDICARE: MARY P FURLONG NP
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
1363LA2100XAcute Care Nurse PractitionerF430083-1NY

General Provider Information

NPI Number : 1013458801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY P FURLONG NP
Provider Business Mailing Address
First Line : 715 NORTH AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-1830
Country : US
Telephone Number : 914-633-2548
Fax Number :
Provider Business Practice Location Address
First Line : 715 NORTH AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-1830
Country : US
Telephone Number : 914-633-2548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2017
Last Update Date : 03/14/2017

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