Provider Demographics
NPI:1710494026
Name:HITCHCOCK, MARJORIE CADY (RN)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:CADY
Last Name:HITCHCOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARGIE
Other - Middle Name:
Other - Last Name:CADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:100 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-2849
Mailing Address - Country:US
Mailing Address - Phone:607-737-4927
Mailing Address - Fax:607-737-8090
Practice Address - Street 1:100 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-2849
Practice Address - Country:US
Practice Address - Phone:607-737-4927
Practice Address - Fax:607-737-8090
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3579129163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator