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NPI Code Detail

MEDICARE: KATHERINE BAE HOURIGAN M.D.

MEDICARE: KATHERINE BAE HOURIGAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician225077-1NY

General Provider Information

NPI Number : 1407850811
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE BAE HOURIGAN M.D.
Provider Business Mailing Address
First Line : 1201 NOTT ST STE 106
Second Line :
City : SCHENECTADY
State : NY
Zip : 12308-2589
Country : US
Telephone Number : 518-374-3123
Fax Number : 518-374-9711
Provider Business Practice Location Address
First Line : 2215 BURDETT AVE
Second Line :
City : TROY
State : NY
Zip : 12180-2475
Country : US
Telephone Number : 518-525-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 03/16/2023

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