Organization
J. KURT CONCILLA, D.P.M., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KURT CONCILLA DPM (OWNER)
(315) 200-6817
Entity
Organization
Contact information
Practice address
2926 W LAKE RD, CAZENOVIA, NY 13035-9818
(315) 200-6817
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003073
NY
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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