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Organization

FRANKLIN FAMILY NURSE PRACTITIONER SERVICE'S PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGG M KUJAWSKI FNP-BC (NURSE PRACTITIONER/SINGLE MEMBER)
(607) 829-6544
Entity
Organization

Contact information

Practice address
12080 COUNTY HIGHWAY 21, FRANKLIN, NY 13775-3032
(607) 829-6544
(607) 829-6544
Mailing address
8354 COUNTY HIGHWAY 21, FRANKLIN, NY 13775-3406
(607) 829-6544
(607) 829-6544

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333423-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02184545
NY
01
F333423-1
FAMILY NURSE PRACTITIONER
NY
Enumeration date
03/25/2015
Last updated
03/25/2015
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