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Individual

DEBORAH CONIGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2150 POLE BRIDGE RD, AVON, NY 14414-9670
(585) 226-6247
Mailing address
2150 POLE BRIDGE RD, AVON, NY 14414-9670
(585) 226-6247

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332215
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02506738
NY
01
F332215
LICENSE
NY
Enumeration date
07/03/2006
Last updated
04/05/2013
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