Individual
MICHELE CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 BROWN RD, ITHACA, NY 14850-1247
(607) 274-4460
Mailing address
3693 MCGRAW MARATHON RD, MC GRAW, NY 13101-9451
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
617338-1
NY
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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