National Provider Identifier
Kym M Cannizzaro, NP
Kym M Cannizzaro, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Clarence, NY and a listed phone number of (716) 759-4938.
Profile Overview
- NPI
- 1861912206
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- June 27, 2017
- Last Updated
- June 25, 2024
Practice Location
- 9097 Main St
- Clarence, NY 14031-1965
Phone: (716) 759-4938
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1861912206
- Entity Type
- Individual
- Last Name
- Cannizzaro
- First Name
- Kym
- Middle Name
- M
- Credential
- NP
- Mailing Street Address
- 9097 Main St
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-1965
- Mailing Country
- US
- Mailing Phone
- (716) 759-4938
- Mailing Fax
- (716) 759-4939
- Practice Street Address
- 9097 Main St
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-1965
- Practice Country
- US
- Practice Phone
- (716) 759-4938
- Practice Fax
- (716) 759-4938
- Enumeration Date
- June 27, 2017
- Last Updated
- June 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)