MEDICARE: NIKOLE CARMEL LPN

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
1	164W00000X	Licensed Practical Nurse	308040-01	NY

General Provider Information

NPI Number	:	1811844319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKOLE CARMEL LPN

Provider Business Mailing Address
First Line	:	7260 HIGHVIEW TRL
Second Line	:
City	:	VICTOR
State	:	NY
Zip	:	14564-9773
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 W CHURCH ST
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-2176
Country	:	US
Telephone Number	:	585-421-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ NIKOLE CARMEL LPN” Practice Location

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