Individual
CARLENE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
Mailing address
292 MAIN ST, EAST AURORA, NY 14052-1650
(716) 652-1560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105695
—
NY
Enumeration date
05/19/2006
Last updated
07/23/2013
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