Basic Information
Provider Information
NPI: 1396067013
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCHUGH
FirstName: NANCY
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 801 LOCKE LN
Address2:  
City: YORKTOWN HEIGHTS
State: NY
PostalCode: 105986126
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1985 CROMPOND RD
Address2:  
City: CORTLANDT MANOR
State: NY
PostalCode: 105674146
CountryCode: US
TelephoneNumber: 9147392121
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/22/2010
LastUpdateDate: 11/17/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X185526NYY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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