Provider Demographics
NPI:1285793315
Name:MCCARTHY FREEMAN, PATRICIA (NP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:MCCARTHY FREEMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:942 RT 376
Mailing Address - Street 2:SUITE 16
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590
Mailing Address - Country:US
Mailing Address - Phone:845-223-8080
Mailing Address - Fax:845-223-8081
Practice Address - Street 1:942 RT 376
Practice Address - Street 2:SUITE 16
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590
Practice Address - Country:US
Practice Address - Phone:845-223-8080
Practice Address - Fax:845-223-8081
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330678363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner