Individual
ADAM CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
8701 ROUTE 5, WESTFIELD, NY 14787-9786
(716) 868-3327
Mailing address
8701 ROUTE 5, WESTFIELD, NY 14787-9786
(716) 868-3327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10-304704
NY
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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