Individual
MR. JOSEPH PATRICK MADELONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA NP
Contact information
Practice address
202 CLEVELAND BLVD, FAYETTEVILLE, NY 13066-1104
(518) 723-0418
Mailing address
202 CLEVELAND BLVD, FAYETTEVILLE, NY 13066-1104
(518) 723-0418
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
431121
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
603240
NY
Other
Enumeration date
10/29/2012
Last updated
08/27/2020
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