Provider Demographics
NPI:1467923581
Name:MCCARTHY, HANNAH MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MARIE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:363 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1903
Mailing Address - Country:US
Mailing Address - Phone:518-439-9911
Mailing Address - Fax:518-439-7726
Practice Address - Street 1:363 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1903
Practice Address - Country:US
Practice Address - Phone:518-439-9911
Practice Address - Fax:518-439-7726
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF343543-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty