Individual
CARL CERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8825 163RD ST, JAMAICA, NY 11432-4046
(718) 739-0045
Mailing address
8825 163RD ST, JAMAICA, NY 11432-4046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
471205
NY
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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