Individual
CAITLIN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2263
(516) 674-7300
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 427-1696
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431598
NY
Other
Enumeration date
08/06/2019
Last updated
04/27/2022
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