Individual
CELESTE I CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5856 SCENIC AVE, MEXICO, NY 13114-3012
(315) 963-4133
(315) 963-4960
Mailing address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6569
(315) 298-7488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307662
—
NY
05
—
00331423
—
NY
Enumeration date
09/02/2005
Last updated
08/29/2023
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