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Provider Information for 1972747319

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DR. ERIN MCDERMOTT NANCE M.D.

Other Name:   ERIN MCDERMOTT
Gender: FEMALE

Individual NPI: 1972747319

Calendar   Last Updated:  2015-11-12
  Certification Date: 

Details

Name Value
NPI 1972747319
Enumeration Date 2009-04-29
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 250 E 65TH ST APT 13B
NEW YORK, NY 10065-6617
United States

Phone: 516-987-0103 | Fax:
View Map External Link
Primary Practice Address 800A 5TH AVE SUITE 300
NEW YORK, NY 10065-7215
United States

Phone: 516-987-0103 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NY 04151135
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207XS0106X - Orthopaedic Surgery Hand Surgery NY 274422-1