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Contact Information

SALLY C MONAHAN, NURSE PRACTITIONER
44210 COUNTY ROAD 48
SOUTHOLD, NY11971-5032
 Phone: 631-765-4150
 Fax: 631-765-4688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SALLY C MONAHAN · (Female)

NPI # 1811002868
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 08/20/2006
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F332909-1
  • NY Medicaid 00473170
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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