Individual
CARLA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 WESTFALL RD STE 100, ROCHESTER, NY 14618-2628
(585) 275-9835
(585) 461-1321
Mailing address
601 ELMWOOD AVE BOX 278984, ROCHESTER, NY 14642-0001
(585) 784-9277
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
342614
NY
363LF0000X
Family Nurse Practitioner
Primary
676619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676619
NY STATE
NY
Enumeration date
01/08/2018
Last updated
06/29/2023
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