Individual
CARLA FAE COOMBS GARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4138 W HENRIETTA RD, ROCHESTER, NY 14623-5224
(585) 334-4060
Mailing address
5510 FEDERAL RD, CONESUS, NY 14435-9605
(585) 346-5917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014177
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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