Provider Demographics
NPI:1164797122
Name:MCGARRY, NANCY S (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:S
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 GIFFORDS LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-1601
Mailing Address - Country:US
Mailing Address - Phone:718-836-4630
Mailing Address - Fax:718-491-3350
Practice Address - Street 1:9115 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5909
Practice Address - Country:US
Practice Address - Phone:718-836-4630
Practice Address - Fax:718-491-3350
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY542492-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse