Individual
CARMELLIA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-3600
Mailing address
227 GARSON AVE, ROCHESTER, NY 14609-6230
(585) 806-6123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334170
NY
Other
Enumeration date
06/10/2026
Last updated
06/11/2026
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