Healthcare Provider Details

I. General information

NPI: 1841330818
Provider Name (Legal Business Name): MARYANNE HIDALGO KEHOE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BIRCHWOOD DR. CATSKILL AREA HOSPICE AND PALLIATIVE CARE
ONEONTA NY
13820
US

IV. Provider business mailing address

207 SCHWEITZER RD
MILFORD NY
13807-1156
US

V. Phone/Fax

Practice location:
  • Phone: 607-432-6773
  • Fax: 607-432-7741
Mailing address:
  • Phone: 607-293-7987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF330361-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: