Individual
MALLORY CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 IRVING AVE STE 340, SYRACUSE, NY 13210-1605
(315) 479-5070
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
(315) 937-3833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020011129
NY
Other
Enumeration date
10/15/2020
Last updated
03/15/2021
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