Provider Demographics
NPI:1669752994
Name:CARTER, JAMES S II (LPN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:CARTER
Suffix:II
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 SAWYER ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-1725
Mailing Address - Country:US
Mailing Address - Phone:585-729-1200
Mailing Address - Fax:
Practice Address - Street 1:559 SAWYER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-1725
Practice Address - Country:US
Practice Address - Phone:585-729-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3063671164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse