Individual
M. KATHLEEN SCANLON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
35 EMPSALL PLAZA, WATERTOWN, NY 13601-0000
(315) 464-2027
Mailing address
36 W 5TH ST, OSWEGO, NY 13126-1315
(315) 342-5469
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381157-1
NY
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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