Provider Demographics
NPI:1245572270
Name:MCCOY, ANNE CECELIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CECELIA
Last Name:MCCOY
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 1:278 MARILYNN CT
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-3315
Mailing Address - Country:US
Mailing Address - Phone:631-277-8027
Mailing Address - Fax:
Practice Address - Street 1:278 MARILYNN CT
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-3315
Practice Address - Country:US
Practice Address - Phone:631-277-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-16
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363132-1163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health