Individual
MS. CASSANDRA LEE KONECNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
326 US HIGHWAY 22 STE 10B, GREEN BROOK, NJ 08812-1713
(732) 624-9797
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00922500
NJ
Other
Enumeration date
09/05/2019
Last updated
11/04/2019
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