Individual
CAROLEE R DORNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 HARRISON ST, SUITE 200, SYRACUSE, NY 13202-3188
(315) 464-6527
(315) 464-6529
Mailing address
550 HARRISON ST, SUITE 200, SYRACUSE, NY 13202-3188
(315) 464-6527
(315) 464-6529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02184081
—
NY
Enumeration date
06/28/2006
Last updated
12/06/2012
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