Provider Demographics
NPI:1659560357
Name:JOANNE V MCLAUGHLIN NP FAMILY HEALTH PC
Entity Type:Organization
Organization Name:JOANNE V MCLAUGHLIN NP FAMILY HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:V
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:607-326-7791
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-0340
Mailing Address - Country:US
Mailing Address - Phone:315-732-9368
Mailing Address - Fax:315-732-9403
Practice Address - Street 1:54178 STATE HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:NY
Practice Address - Zip Code:12474-1543
Practice Address - Country:US
Practice Address - Phone:607-326-7791
Practice Address - Fax:607-326-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332442207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY362728OtherMVP
NY02061287Medicaid
NYP00228558OtherRAILROAD TRAVELERS
NYWEJ001Medicare PIN
NY02061287Medicaid