Individual
CARRIE PORAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 LAKE ST, LE ROY, NY 14482-1029
(585) 297-0343
Mailing address
120 LAKE ST, LE ROY, NY 14482-1029
(585) 297-0343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
562529
NY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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