Individual
JEFFREY F CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51 WASHINGTON DR, KINGS PARK, NY 11754-3317
(516) 242-6510
Mailing address
51 WASHINGTON DR, KINGS PARK, NY 11754-3317
(516) 242-6510
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
481522
NY
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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