KORTNEY ROSE GUGUMUCK

WEST COXSACKIE, NY
NPI1326654633
Former NameKORTNEY ROSE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025618)
Enumeration Date2020-09-22
Last Update Date2024-06-25
Business Address
KORTNEY ROSE GUGUMUCK PA-C
11835 RT 9W
WEST COXSACKIE, NY 12192-3605
Phone number: 518-264-9000
Mailing Address
KORTNEY ROSE GUGUMUCK PA-C
4104 STATE HIGHWAY 30
AMSTERDAM, NY 12010-6202
Phone number: 609-217-5649
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