Mc Koy, Cassandra D

Mc Koy, Cassandra D is an sole proprietor health care provider with primary practice located at 9 Jordan Ln , Middletown NY 10940-1603. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mc Koy, Cassandra D can be contacted via phone (845) 699-0263.

Contact Information

Primary practice address
9 Jordan Ln Middletown NY 10940-1603
Phone: (845) 699-0263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 273518-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F346767-01 New York

Profile Details

NPI number 1760672950
LBN Legal business name Mc Koy, Cassandra D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Feb 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760672950 NPPES
New York MEDICAID 02708258

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