Individual
MRS. ELIZABETH M MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6075 JUDD RD, ORISKANY, NY 13424
(315) 765-2362
(315) 765-2323
Mailing address
6075 JUDD RD, ORISKANY, NY 13424
(315) 765-2362
(315) 765-2323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330251
NY
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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