Individual
CARMELLE ST LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 SALEM ST, ISLIP TERRACE, NY 11752-1615
(516) 728-1046
Mailing address
15 SALEM ST, ISLIP TERRACE, NY 11752-1615
(516) 728-1046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
217586
NY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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