Individual
KIMBERLY L CONBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN, DPT
Contact information
Practice address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057
(315) 472-7504
(315) 634-4677
Mailing address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 472-7504
(315) 634-4677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F341821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F341821
NYS LICENSE
NY
Enumeration date
06/13/2017
Last updated
08/07/2018
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