Individual
CARRIE DYLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 MILLENNIUM DR, GENESEO, NY 14454-1197
(585) 991-5012
Mailing address
1725 NESBITT RD, ATTICA, NY 14011-9633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22688249
NY
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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