Individual
CAROLINE COBBLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13023 223RD ST, LAURELTON, NY 11413-1243
(516) 604-6654
Mailing address
13023 223RD ST, LAURELTON, NY 11413-1243
(516) 604-6654
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F310630-01
NY
Other
Enumeration date
09/18/2024
Last updated
12/12/2024
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