Individual
PATTI A CIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,NP
Contact information
Practice address
301 N WASHINGTON ST STE 2470, HERKIMER, NY 13350-1299
(315) 867-1465
Mailing address
96 CROSS ST, YORKVILLE, NY 13495-1724
(315) 736-4602
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
255247-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300396
—
NY
Enumeration date
03/20/2007
Last updated
07/21/2022
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