Pover, Carolyn Mary

Pover, Carolyn Mary is an individual health care provider with primary practice located at 104 Union Avenue And Townsend Street Suite 803, Syracuse NY 13203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Pover, Carolyn Mary can be contacted via phone (315) 701-5757.

Contact Information

Primary practice address
104 Union Avenue And Townsend Street Suite 803 Syracuse NY 13203
Phone: (315) 701-5757
Fax: (315) 476-8519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X F3330461 New York

Profile Details

NPI number 1629067061
LBN Legal business name Pover, Carolyn Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Mar 20th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629067061 NPPES
New York MEDICAID 02127746

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