IndividualActive
Colleen Carmody
NPI 1265807846 · Critical Care Neonatal Nurse Practitioner · Massapequa, NY
Provider details
- NPI number
- 1265807846
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 350394 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
148 Saint Marks Pl
Massapequa, NY 11758-6422
Phone: (516) 376-7082
Approximate (ZIP-level) locationGet directions
Mailing address
148 Saint Marks Pl
Massapequa, NY 11758-6422
Registry dates
- Enumerated
- 2015-12-08
- Last updated
- 2015-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.