Search › New York › 164W00000X
Fantazia Edick, LPN
NPI 1174875082 · on the registry since 2012 · sole proprietor
Practice
- Address
- 614 Clay Ave
2
Rochester, NY 14613 - Phone
- (585) 478-0048
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York