Provider Demographics
NPI:1851664403
Name:MCGARRY-FAULKNER, DENISE K (LPN)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:K
Last Name:MCGARRY-FAULKNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PINE HOLLOW RD
Mailing Address - Street 2:2-6A
Mailing Address - City:EAST NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:11732-1042
Mailing Address - Country:US
Mailing Address - Phone:516-624-7035
Mailing Address - Fax:
Practice Address - Street 1:600 PINE HOLLOW RD
Practice Address - Street 2:2-6A
Practice Address - City:EAST NORWICH
Practice Address - State:NY
Practice Address - Zip Code:11732-1042
Practice Address - Country:US
Practice Address - Phone:516-624-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105021-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse