Provider Demographics
NPI:1942432810
Name:MCINTYRE, PAIGE MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:MARIE
Other - Last Name:MCINTYRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:31 INTERLAKEN DR
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1529
Mailing Address - Country:US
Mailing Address - Phone:914-632-3445
Mailing Address - Fax:
Practice Address - Street 1:171 WHITE PLAINS RD
Practice Address - Street 2:CONCORDIA COLLEGE HEALTH CENTER
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1923
Practice Address - Country:US
Practice Address - Phone:914-337-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331345363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily