Concilla, J Kurt

Concilla, J Kurt is an individual health care provider with primary practice located at 3229 E Genesee St Joslin Center, Syracuse NY 13214-2016. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Concilla, J Kurt can be contacted via phone (315) 464-5726.

Contact Information

Primary practice address
3229 E Genesee St Joslin Center Syracuse NY 13214-2016
Phone: (315) 464-5726
Fax: (315) 464-2500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003073 New York

Profile Details

NPI number 1851377907
LBN Legal business name Concilla, J Kurt
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Feb 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851377907 NPPES
New York MEDICAID 01704741

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