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NPI Code Detail

MEDICARE: LINNEA CONGDON NP

MEDICARE: LINNEA CONGDON NP
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
1363LF0000XFamily Nurse Practitioner349948NY

General Provider Information

NPI Number : 1861134868
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINNEA CONGDON NP
Provider Business Mailing Address
First Line : 33 LEWIS RD
Second Line : 2ND FL
City : BINGHAMTON
State : NY
Zip : 13905
Country : US
Telephone Number : 607-770-0025
Fax Number :
Provider Business Practice Location Address
First Line : 15 BIRDSALL ST
Second Line :
City : GREENE
State : NY
Zip : 13778-1057
Country : US
Telephone Number : 607-656-4115
Fax Number : 607-656-9553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 07/27/2022

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