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Individual

CHARINA A CARISSIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4458
(315) 464-6388
Mailing address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-4458
(315) 464-6388

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
F001142
NY
367A00000X
Advanced Practice Midwife
Primary
001142
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02879385
NY
Enumeration date
01/06/2006
Last updated
08/22/2013
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