Individual
KATHLEEN MCCANN BANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NPP
Contact information
Practice address
30 CRESCENT AVE, SARATOGA SPRINGS, NY 12866-5142
(518) 584-3600
(518) 583-9301
Mailing address
30 CRESCENT AVE, SARATOGA SPRINGS, NY 12866-5142
(518) 584-3600
(518) 583-9301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401087
NY
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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