Individual
MICHAEL RONDENELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3504 W GENESEE ST STE 1B, SYRACUSE, NY 13219-2012
(315) 401-0754
Mailing address
107 LUECK LN, LIVERPOOL, NY 13088-6115
(315) 272-9361
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F346529-01
NY
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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