Individual
MISS DANA RENEE CARNICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23 HAMILTON AVE, AUBURN, NY 13021-4846
(315) 246-1605
Mailing address
23 HAMILTON AVE, AUBURN, NY 13021-4846
(315) 246-1605
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292438
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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