Individual
CARA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W MAIN ST, WATERTOWN, NY 13601-1337
(315) 788-1530
Mailing address
611 W MAIN ST, WATERTOWN, NY 13601-1337
(315) 788-1530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
525607
NY
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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