Individual
CARMELLA G HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
360 DELEWARE AVE, SUITE 310, BUFFALO, NY 14202-1620
(716) 852-5900
(716) 852-5913
Mailing address
360 DELEWARE AVE, SUITE 310, BUFFALO, NY 14202-1620
(716) 852-5900
(716) 852-5913
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
212791
NY
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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