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Organization
J. KURT CONCILLA, D.P.M., PLLC
Active
Organization
J. KURT CONCILLA, D.P.M., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KURT CONCILLA DPM (OWNER)
(315) 200-6817
Entity
Organization
Contact information
Practice address
2926 W LAKE RD, CAZENOVIA, NY 13035-9818
(315) 200-6817
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003073
NY
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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