Individual
CARROLL ANNE EDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1001 RUBY ST, ROME, NY 13440-2565
(315) 338-5374
(315) 334-7528
Mailing address
1001 RUBY ST, ROME, NY 13440-2565
(315) 338-5374
(315) 334-7528
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
563115-1
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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