Provider Demographics
NPI:1548565195
Name:HUGHES, DARCIE LEE (LMT,CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:LEE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LMT,CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-3436
Mailing Address - Country:US
Mailing Address - Phone:607-962-0856
Mailing Address - Fax:
Practice Address - Street 1:374 PARK AVE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-3436
Practice Address - Country:US
Practice Address - Phone:607-962-0856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012346225700000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374J00000XNursing Service Related ProvidersDoula