Provider Demographics
NPI:1114200557
Name:ONEIL, CAROL A (RN)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:ONEIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 PENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1736
Mailing Address - Country:US
Mailing Address - Phone:585-249-6607
Mailing Address - Fax:585-249-6618
Practice Address - Street 1:1750 SCRIBNER RD
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-9785
Practice Address - Country:US
Practice Address - Phone:585-249-6406
Practice Address - Fax:585-249-6426
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY474232163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse