Provider Demographics
NPI:1326173857
Name:MCGLINCY, ANNE S (APRN,BC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:MCGLINCY
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 W BAY PLZ
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1785
Mailing Address - Country:US
Mailing Address - Phone:518-561-1316
Mailing Address - Fax:518-561-2980
Practice Address - Street 1:109 W BAY PLZ
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1785
Practice Address - Country:US
Practice Address - Phone:518-561-1316
Practice Address - Fax:518-561-2980
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313137-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
YO45451OtherCHAMPUS
7493845OtherGHI
NYRO9191OtherEMPIRE BC
107751OtherMANAGED HEALTH NETWORK
NYB55578Medicare UPIN
NYRO9191OtherEMPIRE BC