Individual
MS. CARINNE NICOLE CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779-2366
(631) 737-0055
(631) 737-0076
Mailing address
90 LAKE SHORE DR, RONKONKOMA, NY 11779-3156
(917) 715-5818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349903
NY
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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