Individual
CATHERINE OLUBUMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 SCOUT HILL RD, MAHOPAC, NY 10541-2544
(914) 490-6199
(845) 519-6502
Mailing address
110 SCOUT HILL RD, MAHOPAC, NY 10541-2544
(914) 490-6199
(845) 519-6502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
357386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992825913
NPI
NY
Enumeration date
03/31/2007
Last updated
05/12/2008
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