Individual
MRS. CAROLINE BERNADETTE DETOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 LINDENWOOD RD, STATEN ISLAND, NY 10308-2742
(718) 356-4907
(718) 356-2065
Mailing address
100 LINDENWOOD RD, STATEN ISLAND, NY 10308-2742
(718) 356-4907
(718) 356-2065
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
324474-1
NY
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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