Individual
CONNIE BARBUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
507 DURSTON AVE, SYRACUSE, NY 13203-1108
(315) 278-0244
Mailing address
507 DURSTON AVE, SYRACUSE, NY 13203-1108
(315) 278-0244
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300068
NY
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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