Individual
CARRIE A DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 HAYS AVE, KIRKWOOD, NY 13795-1418
(607) 761-7111
Mailing address
508 MAIN ST, NEW MILFORD, PA 18834-7423
(610) 451-8365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
665143
NY
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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