AGNES M MCCONLOGUE

ISLIP, NY
NPI1265570121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  013987)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- AGNES M MCCONLOGUE MAPT
252 ISLIP AVE
ISLIP, NY 11751-3015
Phone number: 631-581-6800
Mailing Address
-- AGNES M MCCONLOGUE MAPT
2 HUYLER CT
SETAUKET, NY 11733-1308
Phone number: 631-751-7968