Individual
MRS. KARYN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
1005 WALNUT ST, ELMIRA, NY 14901-1007
(607) 734-3968
(607) 734-4554
Mailing address
98 ROSAR HILL RD, PINE CITY, NY 14871-9528
(607) 732-2206
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000800
NY
Other
Enumeration date
06/13/2006
Last updated
08/20/2008
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