Individual
KATHLEEN N MIGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 W STATE ST, BINGHAMTON, NY 13901-2357
(607) 723-7308
Mailing address
812 LEHIGH AVE, VESTAL, NY 13850-3805
(607) 240-8053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
721829
NY
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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