Individual
MS. ANDREA R CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
570 ELMONT RD, ELMONT, NY 11003-3535
(516) 437-6050
(516) 437-6304
Mailing address
570 ELMONT RD, ELMONT, NY 11003-3535
(516) 437-6050
(516) 437-6304
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400189-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F400189-1
—
NY
Enumeration date
11/06/2006
Last updated
07/09/2007
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