Individual
CATHY MARIE PANKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1375 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1056
(518) 438-4483
(518) 482-4201
Mailing address
1375 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206-1056
(518) 438-4483
(518) 482-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02328132
—
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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