Individual
CAROYLN PIMENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 DELAFIELD PL, STATEN ISLAND, NY 10310-1655
(917) 415-6602
Mailing address
99 DELAFIELD PL, STATEN ISLAND, NY 10310-1655
(917) 415-6602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
626086-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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