Individual
CARLTON BARCLIFT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 BRACKNELL CIR, WEST HENRIETTA, NY 14586-9481
(585) 359-4642
Mailing address
12 BRACKNELL CIR, WEST HENRIETTA, NY 14586-9481
(585) 359-4642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10-284853
NY
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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