Individual
KYM M CANNIZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9097 MAIN ST, CLARENCE, NY 14031-1965
(716) 759-4938
(716) 759-4938
Mailing address
9097 MAIN ST, CLARENCE, NY 14031-1965
(716) 759-4938
(716) 759-4939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308214
NY
Other
Enumeration date
06/27/2017
Last updated
06/25/2024
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