Individual
MARY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791
(516) 496-6558
Mailing address
68 SOUTH SERVICE RD, SUITE 350, MELVILLE, NY 11747
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F302011
NY
363LC0200X
Critical Care Medicine Nurse Practitioner
F302011
NY
Other
Enumeration date
06/27/2005
Last updated
11/02/2011
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