Individual
MRS. CAROL DEYAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
800 TAIT AVE, ROCHESTER, NY 14616-2309
(585) 966-3800
(585) 581-8370
Mailing address
800 TAIT AVE, ROCHESTER, NY 14616-2309
(585) 966-3800
(585) 581-8370
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
532049695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WS0200X
—
NY
Enumeration date
09/16/2011
Last updated
09/16/2011
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