Organization · Type 2 NPI
Catskill Mobile Medical Clinic
Family Nurse Practitioner · Fallsburg, NY
NPI number
1609160407
Active
Practice location
330 Laurel Ave
Fallsburg, NY 12733
Fax (877) 647-4509
Mailing address
PO Box 113, 330 Laurel Ave
Fallsburg, NY 12733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 336123 (NY) |
Family Nurse Practitioner: Definition to come...
About NPI 1609160407
Catskill Mobile Medical Clinic's National Provider Identifier is 1609160407, issued on Jun 9, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fallsburg, NY. The record was last updated on Jun 9, 2011.