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1033846878
CANIVORY PETTIWAY
ALBANY, NY
NPI
1033846878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 349914)
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
CANIVORY PETTIWAY NP
855 CENTRAL AVE
ALBANY, NY 12206-1513
Phone number: 518-434-5678
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Mailing Address
CANIVORY PETTIWAY NP
114 UNIVERSITY AVE
ROCHESTER, NY 14605-2929
Phone number: 585-371-8373
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