Individual
CARROL BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
Mailing address
59 GEORGIA DR, SYOSSET, NY 11791-4823
(516) 526-5356
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
420802
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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