Mary Anne Kandell, R. N.

Individual provider Active NPI Home Health Registered Nurse · East Quogue, NY

NPI 1649528043 · NPPES record last updated Aug 16, 2012

Key facts

NPI
1649528043
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
369668-1 (NY)
Practice address
5 Amys Path
East Quogue, NY 11942-4131
Phone
(631) 653-3887
Fax
(631) 653-3911
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
369668-1NYMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 369668-1 NY Yes

Addresses

Primary practice location

5 Amys Path
East Quogue, NY 11942-4131

Mailing address

5 Amys Path
East Quogue, NY 11942-4131
Phone (631) 653-3887

Other providers in East Quogue, NY

All providers in East Quogue, NY · Home Health Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.