Individual
CARRIE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
931 PINNACLE RD, HENRIETTA, NY 14467-9735
(585) 730-3444
Mailing address
931 PINNACLE RD, HENRIETTA, NY 14467-9735
(585) 730-3444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260755-1
NY
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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