Individual
MS. CARRIE RENGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 NORTHVIEW PARK, ATTICA, NY 14011-1111
(585) 297-5400
Mailing address
29 NORTHVIEW PARK, ATTICA, NY 14011-1111
(585) 297-5400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278139-1
NY
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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