Individual provider · Type 1 NPI
Michael Rondenelli, FNP-C
Primary Care Nurse Practitioner · Syracuse, NY
NPI number
1861089146
Active
Practice location
3504 W Genesee St Ste 1B
Syracuse, NY 13219-2012
Mailing address
107 Lueck Ln
Liverpool, NY 13088-6115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F346529-01 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1861089146
Michael Rondenelli, FNP-C's National Provider Identifier is 1861089146, issued on Dec 21, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Syracuse, NY. The record was last updated on Dec 21, 2020.