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Individual

CONOR LILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3125
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112521-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
689281
NY

Other

Enumeration date
10/27/2016
Last updated
06/13/2025
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