Individual
CORINNE CARSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024633
IL
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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