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Individual

SUSAN MS CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
1415 PORTLAND AVE, ROCHESTER, NY 14621-3038
(585) 922-2900
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4395
(585) 922-5715

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400578
NY

Other

Enumeration date
09/14/2006
Last updated
11/25/2024
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