Provider Demographics
NPI:1942546122
Name:MCLAUGHLIN, ERIN E (PA)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:E
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:646-846-3283
Practice Address - Street 1:1850 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-6012
Practice Address - Country:US
Practice Address - Phone:631-581-5900
Practice Address - Fax:631-968-1792
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2019-12-13
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Provider Licenses
StateLicense IDTaxonomies
NY016294363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03974247Medicaid