Provider Demographics
NPI:1629061734
Name:HUGHES, PATRICIA A (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:624 MCCLELLAN STREET
Mailing Address - Street 2:SUITE G05
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1020
Mailing Address - Country:US
Mailing Address - Phone:518-347-5113
Mailing Address - Fax:518-347-5169
Practice Address - Street 1:624 MCCLELLAN STREET
Practice Address - Street 2:SUITE G05
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1020
Practice Address - Country:US
Practice Address - Phone:518-347-5113
Practice Address - Fax:518-347-5169
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY183580-12080P0208X
NY1835802080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01240037Medicaid
NYE72985Medicare UPIN
NY331833Medicare Oscar/Certification
NYRB8345Medicare PIN
NY53858QMedicare ID - Type Unspecified