Healthcare Provider Details

I. General information

NPI: 1659560357
Provider Name (Legal Business Name): JOANNE V MCLAUGHLIN NP FAMILY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54178 STATE HIGHWAY 30
ROXBURY NY
12474-1543
US

IV. Provider business mailing address

PO BOX 340
NEW HARTFORD NY
13413-0340
US

V. Phone/Fax

Practice location:
  • Phone: 607-326-7791
  • Fax: 607-326-7794
Mailing address:
  • Phone: 315-732-9368
  • Fax: 315-732-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF332442
License Number StateNY

VIII. Authorized Official

Name: JOANNE V MCLAUGHLIN
Title or Position: OWNER/NURSE PRACTIONER
Credential: NP
Phone: 607-326-7791