Individual
CAROLYN ELIZABETH DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
601 ELMWOOD AVE, BOX 631, ROCHESTER, NY 14642-0001
(585) 275-2808
(585) 275-3683
Mailing address
601 ELMWOOD AVE, BOX 631, ROCHESTER, NY 14642-0001
(585) 275-2808
(585) 275-3683
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
382383
NY
363LP0200X
Pediatric Nurse Practitioner
36XXXXXX
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382383
NY
Other
Enumeration date
05/20/2013
Last updated
07/07/2023
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