Individual
CAROLYN MAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
45 CROSSWAY E, BOHEMIA, NY 11716-1204
(631) 585-0100
Mailing address
17 HALLOCK RD, PATCHOGUE, NY 11772-1836
(631) 553-4931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
442550-1
NY
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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