Provider Demographics
NPI:1982228821
Name:KORTRIGHT, CHASITY (RN)
Entity Type:Individual
Prefix:MS
First Name:CHASITY
Middle Name:
Last Name:KORTRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WALDEN ESTATES RD
Mailing Address - Street 2:
Mailing Address - City:WALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:12586-3400
Mailing Address - Country:US
Mailing Address - Phone:845-542-8695
Mailing Address - Fax:
Practice Address - Street 1:19 WALDEN ESTATES RD
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:NY
Practice Address - Zip Code:12586-3400
Practice Address - Country:US
Practice Address - Phone:845-542-8695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-06
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY809300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse