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NPI Code Detail

MEDICARE: KATHRYN H. COMPAGNI PA

MEDICARE: KATHRYN H. COMPAGNI PA
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
1363A00000XPhysician Assistant010263NY

General Provider Information

NPI Number : 1497739502
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN H. COMPAGNI PA
Provider Business Mailing Address
First Line : 1 GUTHRIE SQ
Second Line :
City : SAYRE
State : PA
Zip : 18840-1625
Country : US
Telephone Number : 570-888-5858
Fax Number :
Provider Business Practice Location Address
First Line : 82 COPELAND AVE
Second Line :
City : HOMER
State : NY
Zip : 13077-1528
Country : US
Telephone Number : 607-753-1025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 12/15/2021

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Directions to “ KATHRYN H. COMPAGNI PA” Practice Location

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