Individual
MR. JUAN CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
99 ADAMS AVE, HAUPPAGE, NY 11788
(631) 425-9694
Mailing address
132 WYANDANCH AVE, BABYLON, NY 11702-1921
(631) 526-9389
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
737429
NY
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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