Facts
- Status
- A
- Credential
- FNP
- Type
- Individual
- Enumeration date
- 2024-05-22
- Last updated
- 2025-05-01
Specialties
Licenses
- License NY
- 353928
Location
- Practice location
- 161 JEFFERSON HTS
- City
- CATSKILL NY
- Postal code
- 124141239
- Phone
- 518-943-9380
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.