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Individual

SEANNE HENNESSEY -BROWN X

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4425 OLD RIDGE RD, WILLIAMSON, NY 14589-9363
(315) 483-3217
(315) 589-4893
Mailing address
4425 OLD RIDGE RD, WILLIAMSON, NY 14589-9363
(315) 483-3217
(315) 589-4893

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
345026
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
NONE
Enumeration date
07/03/2014
Last updated
07/03/2014
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