Provider Demographics
NPI:1649766577
Name:PROCOPIO, EMILY MCKAY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:MCKAY
Last Name:PROCOPIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WHITE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-1535
Mailing Address - Country:US
Mailing Address - Phone:607-760-9394
Mailing Address - Fax:
Practice Address - Street 1:766 IRVING AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1630
Practice Address - Country:US
Practice Address - Phone:607-760-9394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343175-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily