Individual
ALTHEA CARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3007 FARRAGUT RD, BROOKLYN, NY 11210-1537
(718) 253-9355
(718) 434-0712
Mailing address
3007 FARRAGUT RD, BROOKLYN, NY 11210-1537
(718) 253-9355
(718) 434-0712
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420969-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04333744
—
NY
Enumeration date
08/21/2012
Last updated
04/18/2016
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