Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 403502 | NY |
NPI | 1013587690 |
---|---|
Provider Name | Katherine Mccarty |
First Address | Cornwall, NY 12518-1370 |
Second Address | Binghamton, NY 13903-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2021 |
Last Update Date | 26/07/2021 |