Individual
MS. CATHY MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
292 S SHORE BLVD, LACKAWANNA, NY 14218-1712
(716) 262-5968
Mailing address
292 S SHORE BLVD, LACKAWANNA, NY 14218-1712
(716) 292-5968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5794471
NY
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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