Individual
KATHLEEN A MACHUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 JOHN ROEMMELT DR STE 302, HORSEHEADS, NY 14845-8304
(607) 873-1810
(607) 562-3157
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332698
NY
363LF0000X
Family Nurse Practitioner
F332698-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002188
—
NY
Enumeration date
01/15/2007
Last updated
11/25/2020
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