Individual
MRS. KATHRYN ELIZABETH MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP, FNP
Contact information
Practice address
10-42 MITCHELL AVE, BINGHAMTON, NY 13903-1617
(607) 762-2990
(607) 762-2639
Mailing address
33 LEWIS RD STE 2, BINGHAMTON, NY 13905-1040
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F335573
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330F335573
—
NY
Enumeration date
08/27/2008
Last updated
04/08/2021
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