Individual
CAROLYN L COVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 W SENECA ST, MANLIUS, NY 13104-2318
(315) 682-5080
(315) 682-8847
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2856
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359975
—
NY
Enumeration date
08/09/2005
Last updated
11/09/2011
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