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NPI Code Detail

MEDICARE: ANTONETTE MCFARLANE

MEDICARE:   ANTONETTE  MCFARLANE
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
1164W00000XLicensed Practical Nurse10 311461NY

General Provider Information

NPI Number : 1073954111
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONETTE MCFARLANE
Provider Business Mailing Address
First Line : 41 SATINWOOD ST
Second Line :
City : CENTRAL ISLIP
State : NY
Zip : 11722-4740
Country : US
Telephone Number : 631-965-1275
Fax Number :
Provider Business Practice Location Address
First Line : 45 WISCONSIN AVE
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-2337
Country : US
Telephone Number : 631-965-1275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 07/16/2013

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Directions to “ ANTONETTE MCFARLANE ” Practice Location

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