Individual
DEIRDRE MCKIBBIN-VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
(845) 473-0896
Mailing address
1 COLUMBIA ST, SUITE 200, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
(845) 473-0896
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004393
NY
Other
Enumeration date
08/31/2006
Last updated
03/07/2023
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