Individual
MRS. LINDSAY ELIZABETH KIMMEL NEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6870 E GENESEE ST, FAYETTEVILLE, NY 13066-1031
(315) 679-4367
Mailing address
6870 E GENESEE ST, FAYETTEVILLE, NY 13066-1031
(315) 679-4367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
697998
NY
363L00000X
Nurse Practitioner
Primary
F348077
NY
Other
Enumeration date
06/26/2021
Last updated
07/07/2023
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