Healthcare Provider Details

I. General information

NPI: 1205534468
Provider Name (Legal Business Name): CASSANDRA L. HUGI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSANDRA L. JAMES RN

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 CHURCH & MAPLE ST 13 MILL ST
DALTON NY
14836-1451
US

IV. Provider business mailing address

PO BOX 517
NUNDA NY
14517-0517
US

V. Phone/Fax

Practice location:
  • Phone: 585-468-2900
  • Fax:
Mailing address:
  • Phone: 585-468-2900
  • Fax: 585-476-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number499563
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: