Individual
MRS. CAROL ANN DICESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 LATTA RD, ROCHESTER, NY 14612-4022
(585) 966-3990
(585) 581-8109
Mailing address
1200 LATTA RD, ROCHESTER, NY 14612-4022
(585) 966-3990
(585) 581-8109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
507867-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WS0200X
—
NY
Enumeration date
01/05/2011
Last updated
01/05/2011
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