Individual
JENNIFER LYNNE GORMAN-FECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 KENNEDY PKWY, CORTLAND, NY 13045-1409
(607) 753-9105
Mailing address
586 BABCOCK RD, TULLY, NY 13159-3246
(315) 391-4785
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
454672
NY
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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