Individual
BRITTANIE NAUNPAN DE CAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 LARCH ST, WANTAGH, NY 11793-4145
(516) 655-0100
Mailing address
2219 LARCH ST, WANTAGH, NY 11793-4145
(516) 655-0100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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