Healthcare Provider Details

I. General information

NPI: 1164182523
Provider Name (Legal Business Name): DARCI HOBART RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 FISH AND GAME RD
HUDSON NY
12534-3814
US

IV. Provider business mailing address

165 MANSION ST
COXSACKIE NY
12051-1011
US

V. Phone/Fax

Practice location:
  • Phone: 845-741-4105
  • Fax:
Mailing address:
  • Phone: 845-741-4105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number702554-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: