Individual
MRS. KATIE ANN QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4460
Mailing address
316 WINNER RD, OXFORD, NY 13830-3222
(518) 649-2603
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
675388
NY
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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