Individual
LYNNE KATHLEEN PHILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1819 BLACK RIVER BLVD N, ROME, NY 13440-2451
(315) 338-7184
(315) 339-1975
Mailing address
245 HILL RD, ROME, NY 13441-4237
(315) 338-7308
(315) 338-7422
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308500-1
NY
Other
Enumeration date
01/16/2018
Last updated
01/22/2018
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