Individual
CONNIE CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 COOLIDGE AVE, UPPER FLOOR, YONKERS, NY 10701-5931
(845) 473-1222
Mailing address
32 COOLIDGE AVE, UPPER FLOOR, YONKERS, NY 10701-5931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691102-1
NY
164W00000X
Licensed Practical Nurse
284037-1
NY
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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