Individual
PATRICIA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(518) 798-0170
Mailing address
55 FEDOR RD, GANSEVOORT, NY 12831-1620
(518) 743-0048
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
598602
NY
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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