1285793315 NPI number — MRS. PATRICIA MCCARTHY FREEMAN NP

Table of content: MRS. PATRICIA MCCARTHY FREEMAN NP (NPI 1285793315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285793315 NPI number — MRS. PATRICIA MCCARTHY FREEMAN NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCARTHY FREEMAN
Provider First Name:
PATRICIA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FREEMAN
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
NP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1285793315
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
942 RT 376
Provider Second Line Business Mailing Address:
SUITE 16
Provider Business Mailing Address City Name:
WAPPINGERS FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12590
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-223-8080
Provider Business Mailing Address Fax Number:
845-223-8081

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
942 RT 376
Provider Second Line Business Practice Location Address:
SUITE 16
Provider Business Practice Location Address City Name:
WAPPINGERS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12590
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-223-8080
Provider Business Practice Location Address Fax Number:
845-223-8081
Provider Enumeration Date:
12/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  330678 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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