Individual
MISS CAROLINA INES ZEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
46 RICHMOND BLVD UNIT 4B, RONKONKOMA, NY 11779-3692
(631) 721-3458
(631) 676-4388
Mailing address
46 RICHMOND BLVD UNIT 4B, RONKONKOMA, NY 11779-3692
(631) 721-3458
(631) 676-4388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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