Individual
CAROLE A CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 PRESIDENTIAL PLZ, FIRM C, SYRACUSE, NY 13202-2240
(315) 464-3834
(315) 464-3837
Mailing address
90 PRESIDENTIAL PLZ, FIRM C, SYRACUSE, NY 13202-2240
(315) 464-3834
(315) 464-3837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
302393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02553280
—
NY
Enumeration date
07/13/2006
Last updated
10/20/2010
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