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Organization
OTSELIC VALLEY FAMILY HEALTH NP PC
Active
Organization
OTSELIC VALLEY FAMILY HEALTH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A PENDELL-MCKEE FNP (FAMILY NURSE PRACTITIONER OWNER)
(315) 653-7515
Entity
Organization
Contact information
Practice address
1594 STATE HIGHWAY RTE 26, SOUTH OTSELIC, NY 13155
(315) 653-7515
(315) 653-7517
Mailing address
PO BOX 90, SOUTH OTSELIC, NY 13155
(315) 653-7515
(315) 653-7517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73852
MVP
—
01
—
AA0524
MEDICARE GROUP UPIN
—
01
—
G0182787090
BCBS
—
Enumeration date
01/11/2006
Last updated
08/22/2020
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