Organization · Type 2 NPI
Central New York Family Health Nurse Practitioner PLLC
Health Service Clinic/Center · Cicero, NY
NPI number
1417622135
Active
Practice location
5701 E. Circle Dr., #264 Suite 108
Cicero, NY 13039
Mailing address
6303 Yulewood Cir
Cicero, NY 13039-9251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1417622135
Central New York Family Health Nurse Practitioner PLLC's National Provider Identifier is 1417622135, issued on Aug 13, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Cicero, NY. The record was last updated on Aug 13, 2021.