Individual
CAROL G BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8 RADCLIFF LN, FARMINGDALE, NY 11735-6100
(917) 288-1224
Mailing address
8 RADCLIFF LN, FARMINGDALE, NY 11735-6100
(917) 288-1224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
705454-1
NY
163W00000X
Registered Nurse
RN9361720
FL
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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