Individual
CAROLE LUXAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 CLINTON ST, HEMPSTEAD, NY 11550
(516) 493-9063
Mailing address
649 EAST 83RD ST, BROOKLYN, NY 11236
(917) 238-9409
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3185911
NY
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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