Individual
MISS CAROLINA BERTHA PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, E.D
Contact information
Practice address
4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 984-9022
Mailing address
85 ELMWOOD PARK DR, APT 47, STATEN ISLAND, NY 10314-7868
(718) 530-2362
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
194683081
NY
174400000X
Specialist
210592081
NY
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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