Sutryk, Kimberly P.

Sutryk, Kimberly P. is an individual health care provider with primary practice located at 123 Conhocton St , Corning NY 14830-2911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sutryk, Kimberly P. can be contacted via phone (607) 973-8600.

Contact Information

Primary practice address
123 Conhocton St Corning NY 14830-2911
Phone: (607) 973-8600
Fax: (607) 962-5102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F334362 New York

Profile Details

NPI number 1154396380
LBN Legal business name Sutryk, Kimberly P.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1154396380 NPPES
New York MEDICAID 02644571

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