Agricola, Catherine Dailey

Agricola, Catherine Dailey is an sole proprietor health care provider with primary practice located at 347 Fullerton Ave Ste 1 , Newburgh NY 12550-3700. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Agricola, Catherine Dailey can be contacted via phone (845) 510-1870.

Contact Information

Primary practice address
347 Fullerton Ave Ste 1 Newburgh NY 12550-3700
Fax: (845) 510-1872
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 276829 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 276829 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 276829 New York

Profile Details

NPI number 1083970149
LBN Legal business name Agricola, Catherine Dailey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2012
Last updated Sep 24th, 2020 - about 4 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 1083970149 NPPES
New York MEDICAID 04485723

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