Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn H Revercomb

Individual provider Forensic Pathology Physician · NPI 1750911061

Carolyn H Revercomb is a Forensic Pathology Physician in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

100 Elizabeth Blackwell St
Syracuse, NY 13210-2303
Phone: (315) 435-3163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Pathology Physician (primary) Taxonomy 207ZF0201X · Licence 202191 (NY)

Record details

NPI number1750911061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2020
Last updated in NPPESJanuary 26, 2020
Certification dateJanuary 26, 2020

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