Provider Demographics
NPI:1255661757
Name:MCKAY, ERIN M (ANP)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:M
Last Name:MCKAY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 PANTIGO PL
Mailing Address - Street 2:SUITE I
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-5920
Mailing Address - Country:US
Mailing Address - Phone:631-329-8430
Mailing Address - Fax:631-329-8291
Practice Address - Street 1:200 PANTIGO PL
Practice Address - Street 2:SUITE I
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-5920
Practice Address - Country:US
Practice Address - Phone:631-329-8430
Practice Address - Fax:631-329-8291
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006944171100000X
NY304901363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No171100000XOther Service ProvidersAcupuncturist