Individual
MS. PATRICIA KONIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
Mailing address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-9450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381208
NY
Other
Enumeration date
05/01/2006
Last updated
03/14/2013
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