| Doctor Name: | MRS. CARLA FILIPPETTI DODGE |
| NPI Number: | 1386986149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 645100 |
| Business Practice Address: | 3599 Big Ridge Rd Spencerport, NY - 145591709 |
| Business Phone Number: | 5853522400 |
| Business Fax Number: | 5853522666 |
| Mailing Address: | 3599 Big Ridge Rd, SPENCERPORT |
| State: | NY |
| Postal Code: | 145591709 |
| Phone Number: | 5853522400 |
| Fax Number: | 5853522666 |
| NPI Enumeration Date: | 03/20/2013 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 645100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |