Individual
MRS. BLANCA PATRICIA CARBALLIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
932 AMERICUS AVE, EAST PATCHOGUE, NY 11772-5019
(631) 803-2895
(631) 803-2895
Mailing address
932 AMERICUS AVE, EAST PATCHOGUE, NY 11772-5019
(631) 803-2895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
533381
NY
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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