| Organization Name: | OTSELIC VALLEY FAMILY HEALTH NP PC |
| NPI Number: | 1326027061 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY A PENDELL-MCKEE (FAMILY NURSE PRACTITIONER OWNER) |
| Mailing Address: | 1594 State Highway Rte 26 South Otselic |
| State: | NY US |
| Postal Code: | 13155 |
| Phone Number: | 3156537515 |
| Fax Number: | 3156537517 |
| NPI Enumeration Date: | 01/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F330475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |