Individual
CAROL ASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
25 BETSY ROSS DR, BOHEMIA, NY 11716-4003
(631) 587-1056
Mailing address
25 BETSY ROSS DR, BOHEMIA, NY 11716-4003
(631) 307-6533
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
128147
NY
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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