MEGAN BLOODOUGH NPI 1073050902

NPI Information

NPI: 1073050902
Provider Name: MEGAN BLOODOUGH
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
128 EDGERTON ST
MINOA, NY
ZIP 13116
Phone: (315) 256-5835
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Megan Bloodough is a specialist in Minoa, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Megan Bloodough NPI is 1073050902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

128 EDGERTON ST
MINOA, NY
ZIP 13116-510
Phone: (315) 256-5835

The enumeration date for this NPI number is 1/30/2017 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		705761131	NEW YORK	Yes
2	174400000X	Specialist		670456121	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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