Provider Demographics
NPI:1548346125
Name:MONCK, MAUREEN FINNERTY (PHD, RN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:FINNERTY
Last Name:MONCK
Suffix:
Gender:F
Credentials:PHD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MILL NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11765-1200
Mailing Address - Country:US
Mailing Address - Phone:516-922-6125
Mailing Address - Fax:
Practice Address - Street 1:358 RIDGE LN
Practice Address - Street 2:
Practice Address - City:MILL NECK
Practice Address - State:NY
Practice Address - Zip Code:11765-1200
Practice Address - Country:US
Practice Address - Phone:516-922-6125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN151131163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent