| Carolyn Dudden, | |
|
5856 Scenic Ave, Mexico, NY 13114-3012 | |
| (315) 963-4133 | |
| Not Available |
| Full Name | Carolyn Dudden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5856 Scenic Ave, Mexico, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093435554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 349694 (New York) | Primary |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Northern Oswego County Health Services, Inc. Dba Connextcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Dudden, 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Carolyn Dudden, 5856 Scenic Ave, Mexico, NY 13114-3012 Ph: (315) 963-4133 |
Celeste I Carnes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5856 Scenic Ave, Mexico, NY 13114 Phone: 315-963-4133 Fax: 315-963-4960 | |
Mrs. Adrienne Larie Brimmer, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16 Fravor Rd, Mexico, NY 13114 Phone: 315-963-8400 Fax: 315-630-3169 | |
Margret Wentworth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5856 Scenic Ave, Mexico, NY 13114 Phone: 315-963-4133 Fax: 315-963-4960 | |
Todd C Bryant, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5856 Scenic Ave, Mexico, NY 13114 Phone: 315-963-4133 |