Individual
CORNELIA NICHOLL MCGUILVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 TAYLOR AVE, UTICA, NY 13501-4609
(315) 292-0080
Mailing address
1418 TAYLOR AVE, UTICA, NY 13501-4609
(315) 292-0080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326355
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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