Individual
MRS. CHARLENE J MACRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
417 HENRY STREET, HERKIMER, NY 13350-0710
(315) 866-0210
(315) 866-5883
Mailing address
PO BOX 275, CLAYVILLE, NY 13322-0275
(315) 839-5575
(315) 839-5587
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F332678
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951124
—
NY
Enumeration date
11/30/2006
Last updated
01/06/2014
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