Courtney Giuffrida

Individual provider Active NPI Licensed Practical Nurse · Elbridge, NY

NPI 1548906019 · NPPES record last updated May 9, 2022

Key facts

NPI
1548906019
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
315366 (NY)
Practice address
5566 Jordan Rd
Elbridge, NY 13060-9617
Phone
(315) 689-1833
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
315366NYMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Familycare Medical Group, PC Current
since May 16, 2022
Accepting new patients

Locations

5566 Jordan Rd
Elbridge, NY 13060
Phone (315) 657-3786

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 315366 NY Yes

Addresses

Primary practice location

5566 Jordan Rd
Elbridge, NY 13060-9617

Mailing address

7104 Kingdom Rd
Memphis, NY 13112-8701
Phone (315) 857-4960

Other providers in Elbridge, NY

All providers in Elbridge, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.