Individual
CAROL LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 624-5226
(315) 624-5152
Mailing address
118 FAIRWAY DR, NEW HARTFORD, NY 13413-1008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F331631
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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