Doctor Name: | JESSICA L CARRIERO |
NPI Number: | 1235575317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 018166-1 |
Business Practice Address: | 515 Main St Olean, NY - 147601513 |
Business Phone Number: | 7163732600 |
Business Fax Number: | 7163756410 |
Mailing Address: | 139 Commercial St, GOWANDA |
State: | NY |
Postal Code: | 140701440 |
Phone Number: | 7165325433 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 018166-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |