Individual
CARIDA LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLLEGE RD APT 12O, SELDEN, NY 11784-2839
(631) 710-8389
Mailing address
111 COLLEGE RD APT 12O, SELDEN, NY 11784-2839
(631) 710-8389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
969656
NY
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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