Individual
ANTONIO CARAVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 W END AVE, BRENTWOOD, NY 11717-1615
(631) 745-2223
Mailing address
6 W END AVE, BRENTWOOD, NY 11717-1615
(631) 745-2223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315145
NY
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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