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Contact Information

CAROLINE R BENISH MCNAMARA, NP
22 GLENRIDGE AVE
STONY BROOK, NY11790-2402
 Phone: 631-678-8230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAROLINE R BENISH MCNAMARA · (Female)

NPI # 1396981957
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 12/31/2008
Last updated 02/28/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F340207
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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