Individual
CAROLE A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3865 CONDOR CIR, LIVERPOOL, NY 13090-1008
(315) 622-0816
Mailing address
3865 CONDOR CIR, LIVERPOOL, NY 13090-1008
(315) 622-0816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
242153
NY
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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