Individual
MISS CARA K FENOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35 W BROADWAY, PORT JEFFERSON STATION, NY 11776-3818
(631) 560-7136
Mailing address
35 W BROADWAY, PORT JEFFERSON STATION, NY 11776-3818
(631) 560-7136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269568
NY
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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