Provider Demographics
NPI:1073873717
Name:CAHILL, MARIE E (NP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:E
Last Name:CAHILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3304 93RD ST
Mailing Address - Street 2:#1W
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1941
Mailing Address - Country:US
Mailing Address - Phone:718-335-4747
Mailing Address - Fax:718-476-2626
Practice Address - Street 1:3304 93RD ST
Practice Address - Street 2:#1W
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1941
Practice Address - Country:US
Practice Address - Phone:718-335-4747
Practice Address - Fax:718-476-2626
Is Sole Proprietor?:No
Enumeration Date:2012-05-28
Last Update Date:2012-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY305969363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health