Provider Demographics
NPI:1578978219
Name:HUGHES, CORTNI CLAIRE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CORTNI
Middle Name:CLAIRE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CORTNI
Other - Middle Name:CLAIRE
Other - Last Name:MONROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:191 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-1150
Mailing Address - Country:US
Mailing Address - Phone:585-593-1100
Mailing Address - Fax:585-596-4120
Practice Address - Street 1:127 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-1149
Practice Address - Country:US
Practice Address - Phone:585-593-4250
Practice Address - Fax:585-742-4293
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17622363AM0700X
NY017622363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical