Individual
ODALYS CARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4518
(585) 922-3950
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4518
(585) 922-3950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113460
FL
363AM0700X
Medical Physician Assistant
Primary
025540
NY
Other
Enumeration date
10/14/2020
Last updated
03/08/2021
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