MEDICARE: CORTNEY PAPPA B.S, A.A.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	692021-1	NY

General Provider Information

NPI Number	:	1295195717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORTNEY PAPPA B.S, A.A.S

Provider Business Mailing Address
First Line	:	710 ASHFORD WAY
Second Line	:
City	:	VICTOR
State	:	NY
Zip	:	14564-9766
Country	:	US
Telephone Number	:	585-794-7304
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 ASHFORD WAY
Second Line	:
City	:	VICTOR
State	:	NY
Zip	:	14564-9766
Country	:	US
Telephone Number	:	585-794-7304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	05/10/2023

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Directions to “ CORTNEY PAPPA B.S, A.A.S” Practice Location

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