Individual
CAROL J ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 UNION AVE, SUITE 806, SYRACUSE, NY 13203-2761
(315) 474-0542
(315) 474-4340
Mailing address
104 UNION AVE, SUITE 806, SYRACUSE, NY 13203-2761
(315) 474-0542
(315) 474-4340
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
300376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02328403
—
NY
Enumeration date
07/10/2006
Last updated
11/06/2012
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