Healthcare Provider Details

I. General information

NPI: 1639496417
Provider Name (Legal Business Name): CATHERINE A DELSIGNORE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE A HOERTKORN

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 S WESTERN AVE
QUEENSBURY NY
12804-3323
US

IV. Provider business mailing address

9 CAREY RD
QUEENSBURY NY
12804-7880
US

V. Phone/Fax

Practice location:
  • Phone: 518-798-6400
  • Fax: 518-798-4105
Mailing address:
  • Phone: 518-761-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number269948
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: