Healthcare Provider Details

I. General information

NPI: 1295643153
Provider Name (Legal Business Name): KATE ELISE DUSHANE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 DELAWARE AVE
DELMAR NY
12054-1920
US

IV. Provider business mailing address

15 KENT TER
ALBANY NY
12203-2835
US

V. Phone/Fax

Practice location:
  • Phone: 518-429-4085
  • Fax: 518-429-4603
Mailing address:
  • Phone: 518-888-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074360
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: