Individual
MRS. CARMELLE ISIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
97 FOREST GLEN CT, NANUET, NY 10954-4407
(516) 259-2810
Mailing address
97 FOREST GLEN CT, NANUET, NY 10954-4407
(516) 259-2810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
228565-1
NY
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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