Individual
JODI MARIE CONLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4780 DUANESBURG RD STE 102, DUANESBURG, NY 12056-3422
(518) 299-5007
(518) 510-9783
Mailing address
4780 DUANESBURG RD STE 102, DUANESBURG, NY 12056-3422
(518) 299-5007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
340971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04850120
—
NY
Enumeration date
08/15/2017
Last updated
12/11/2024
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