Individual
CAROLYN LISA CANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 BROWN RD, ITHACA, NY 14850-1247
(607) 280-1356
Mailing address
55 BROWN RD, ITHACA, NY 14850-1247
(607) 280-1356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626511
NY
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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