Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 350219 | NY |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 381103 | NY |
NPI | 1215996079 |
---|---|
Provider Name | Ms. Debra Jean Carey |
First Address | Kenmore, NY 14217-1221 |
Second Address | Kenmore, NY 14217-1221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 25/02/2015 |