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Individual

MRS. MELISSA LEIGH CARBONETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
156 1ST ST, #205, MINEOLA, NY 11501-4084
(516) 741-4082
Mailing address
156 1ST ST, SUITE 205, MINEOLA, NY 11501-4084

Taxonomy

Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
646067-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382691-1
NY

Other

Enumeration date
01/09/2017
Last updated
01/09/2017
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