Individual
MRS. CATHLEEN ANN WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
640 COUNTY ROUTE 4, CENTRAL SQUARE, NY 13036-3444
(315) 676-5947
Mailing address
640 COUNTY ROUTE 4, CENTRAL SQUARE, NY 13036-3444
(315) 676-5947
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272623-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497057368
—
NY
Enumeration date
11/29/2010
Last updated
08/25/2011
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