Individual
CARLENE RIBOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Mailing address
836 PARK PL, UNIONDALE, NY 11553-2804
(516) 426-2432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
657318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
657318
RN NUMBER
NY
Enumeration date
11/23/2012
Last updated
11/23/2012
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