Individual
CAROL EDWARDS DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6255
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6255
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03579146
—
NY
Enumeration date
08/31/2006
Last updated
08/27/2013
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