Individual
CARL W BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2212
(315) 541-2001
Mailing address
681 EAST RD, HEUVELTON, NY 13654-3162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332012
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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