Individual
CAROLINE ROSE BENISH MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 GLENRIDGE AVE, STONY BROOK, NY 11790-2402
(631) 678-8230
Mailing address
22 GLENRIDGE AVE, STONY BROOK, NY 11790-2402
(631) 678-8230
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340207
NY
Other
Enumeration date
12/31/2008
Last updated
02/28/2011
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