Individual
MS. CASSANDRA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 HAWTHORNE AVE APT 361, CENTRAL ISLIP, NY 11722-5158
(631) 882-1769
Mailing address
121 HAWTHORNE AVE APT 361, CENTRAL ISLIP, NY 11722-5158
(631) 882-1769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
246835-1
NY
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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