Individual
CAROL CECILIA MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6050 CAVANAUGH RD, MARCY, NY 13403-2411
(315) 534-0730
Mailing address
181 MAIN ST APT 204, WHITESBORO, NY 13492-1248
(315) 790-7362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758765-1
NY
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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