National Provider Identifier
Carol Marie Derycke, RN, BSN
Carol Marie Derycke, RN, BSN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 753-5163.
Source: public NPPES record, last updated April 07, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1891011433
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 07, 2010
- Last Updated
- April 07, 2010
Practice Location
- 111 Westfall RD Rm 864
- Rochester, NY 14620-4647
Phone: (585) 753-5163
Mailing Address
- 16 Sunset Trl
- Fairport, NY 14450-1922
Specialties
- Registered Nurse (163W00000X)
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Full Record
- NPI
- 1891011433
- Entity Type
- Individual
- Last Name
- Derycke
- First Name
- Carol
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- RN, BSN
- Mailing Street Address
- 16 Sunset Trl
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1922
- Mailing Country
- US
- Mailing Phone
- (585) 753-5163
- Mailing Fax
- (585) 753-5188
- Practice Street Address
- 111 Westfall RD Rm 864
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4647
- Practice Country
- US
- Practice Phone
- (585) 753-5163
- Practice Fax
- (585) 753-5188
- Enumeration Date
- April 07, 2010
- Last Updated
- April 07, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)