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NPI Code Detail

MEDICARE: MRS. MARIA ELENA MCCABE ANP

MEDICARE: MRS. MARIA ELENA MCCABE ANP
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
1363LA2200XAdult Health Nurse PractitionerF302746-1NY

General Provider Information

NPI Number : 1518934447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA ELENA MCCABE ANP
Provider Business Mailing Address
First Line : 677 CRAIG AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-1509
Country : US
Telephone Number : 718-966-1195
Fax Number : 718-226-8201
Provider Business Practice Location Address
First Line : 677 CRAIG AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-1509
Country : US
Telephone Number : 718-226-8555
Fax Number : 718-226-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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