Provider Demographics
NPI:1801290564
Name:MCGREEVY, AMY (NURSE PRACTIONER)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MCGREEVY
Suffix:
Gender:F
Credentials:NURSE PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SANDY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2519
Mailing Address - Country:US
Mailing Address - Phone:516-883-2131
Mailing Address - Fax:
Practice Address - Street 1:7 SANDY HOLLOW LN
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2519
Practice Address - Country:US
Practice Address - Phone:516-883-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY583639-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics