Individual
BARBARA ELLEN CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
424 LAKESIDE RD, ANGOLA, NY 14006-9552
(716) 472-1289
Mailing address
5384 LEETE RD, LOCKPORT, NY 14094-1206
(716) 860-1880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1859103
NY
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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