Provider Demographics
NPI:1972155125
Name:CONROY, CLAIRE A (RN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:A
Last Name:CONROY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WESTHILL HIGH SCHOOL
Mailing Address - Street 2:4501 ONONDAGA BLVD
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13219
Mailing Address - Country:US
Mailing Address - Phone:315-426-3100
Mailing Address - Fax:315-426-3124
Practice Address - Street 1:WESTHILL HIGH SCHOOL
Practice Address - Street 2:4501 ONONDAGA BLVD
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13219
Practice Address - Country:US
Practice Address - Phone:315-426-3100
Practice Address - Fax:315-426-3124
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY391064163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse