Individual
CARMELLA S SERVICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1200
Mailing address
460 LAFAYETTE RD, ROCHESTER, NY 14609-2935
(585) 698-9613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
544547
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
544547
NY
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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