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NPI Code Detail

MEDICARE: CARLTON BARCLIFT II

MEDICARE:   CARLTON  BARCLIFT II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse10-284853NY

General Provider Information

NPI Number : 1275081937
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLTON BARCLIFT II
Provider Business Mailing Address
First Line : 12 BRACKNELL CIR
Second Line :
City : WEST HENRIETTA
State : NY
Zip : 14586-9481
Country : US
Telephone Number : 585-359-4642
Fax Number :
Provider Business Practice Location Address
First Line : 12 BRACKNELL CIR
Second Line :
City : WEST HENRIETTA
State : NY
Zip : 14586-9481
Country : US
Telephone Number : 585-359-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2016
Last Update Date : 09/12/2016

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Directions to “ CARLTON BARCLIFT II ” Practice Location

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