Healthcare Provider Details

I. General information

NPI: 1568272771
Provider Name (Legal Business Name): CONNOR MCHUGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 MAIN ST
BEACON NY
12508-2770
US

IV. Provider business mailing address

2570 US HIGHWAY 9W STE 10
CORNWALL NY
12518-1370
US

V. Phone/Fax

Practice location:
  • Phone: 845-274-6757
  • Fax:
Mailing address:
  • Phone: 845-274-6757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129627
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: