Individual
SHELBIE FILICIA PIDKAMINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NP, PMHNP-BC
Contact information
Practice address
4914 W GENESEE ST, CAMILLUS, NY 13031-2374
(315) 446-1435
(315) 446-4269
Mailing address
213 HAYWOOD RD, SYRACUSE, NY 13219-2323
(315) 289-8850
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
704756
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403022
NY
Other
Enumeration date
08/28/2017
Last updated
11/27/2023
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