Individual
MRS. NICOLE MARIE CONESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
309 CHERRY RD, SYRACUSE, NY 13219-1508
(518) 810-9932
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
038946
NY
Other
Enumeration date
07/20/2015
Last updated
03/23/2020
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