Organization
ELLINWOOD NURSE PRACTITIONER IN FAMILY HEALTH,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY CZTERNASTEK NP (NURSE PRACTITIONER/ OWNER)
(315) 507-5081
Entity
Organization
Contact information
Practice address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 507-5081
(315) 738-1663
Mailing address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 507-5080
(315) 738-1663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
03/19/2021
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