Provider Demographics
NPI:1447491170
Name:MCHUGH, MAGGIE (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 823
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-0823
Mailing Address - Country:US
Mailing Address - Phone:585-271-6310
Mailing Address - Fax:585-271-2102
Practice Address - Street 1:4898 COLLETT RD
Practice Address - Street 2:
Practice Address - City:SHORTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14548-9607
Practice Address - Country:US
Practice Address - Phone:585-271-6310
Practice Address - Fax:585-271-2102
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY886112133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered