Individual
MISS CAROL LINETTE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
783 GRAND AVENUE, ROCHESTER, NY 14609
(585) 201-4145
Mailing address
783 GRAND AVENUE, ROCHESTER, NY 14609
(585) 201-4145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
236378-1
NY
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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