Samantha Mackenzie McCrory
Registered Nurse, Pediatrics in Stormville, NY. Individual provider (NPI-1).
NPI number1336801596
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1336801596
- Entity type
- Individual (NPI-1)
- Name
- Samantha Mackenzie McCrory
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0200X | Registered Nurse, Pediatrics | 775956 | NY | Yes |
Practice location
179 Seaman RdStormville, NY 12582-5111
Phone 845-240-4464
Mailing address
179 Seaman RdStormville, NY 12582-5111
Phone 845-240-4464
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