Individual
CARRIE VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210
(315) 464-4363
(315) 464-4854
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617-5504
(585) 922-1304
(585) 922-1399
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
288215
NY
Other
Enumeration date
04/25/2015
Last updated
08/08/2018
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