Individual
TOM MCKIBBIN-VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2400 US ROUTE 9, HUDSON, NY 12534-4725
(518) 537-4900
(518) 537-5977
Mailing address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5600
(845) 231-5489
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009679
NY
Other
Enumeration date
07/07/2006
Last updated
05/06/2010
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