Individual
BRISA CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5901 PALISADE AVE, BRONX, NY 10471-1205
(914) 263-5507
Mailing address
1 PENN PLZ, SUITE 725,, NEW YORK, NY 10119-0002
(915) 603-1688
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
679056
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
F430868
NY
Other
Enumeration date
08/31/2011
Last updated
08/11/2015
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