Provider Demographics
NPI:1851456172
Name:SNOW, MARY ANN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANN
Last Name:SNOW
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:733 EAST PINE STREET
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-2624
Mailing Address - Country:US
Mailing Address - Phone:516-431-2634
Mailing Address - Fax:516-431-0434
Practice Address - Street 1:10201 66 RAOD
Practice Address - Street 2:NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-830-4316
Practice Address - Fax:718-830-1158
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF3026191363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health