Individual
CODY CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 OLD TURNPIKE RD STE 307, NANUET, NY 10954-2530
(845) 624-0260
Mailing address
20 OLD TURNPIKE RD STE 307, NANUET, NY 10954-2530
(845) 624-0260
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335502
NY
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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