Individual
CONSTANCE EDITH CARLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 LYBOLT DR, HUGUENOT, NY 12746-5214
(845) 856-3943
Mailing address
21 LYBOLT DR, HUGUENOT, NY 12746-5214
(845) 856-3943
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
464148-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251300000X
TAXONOMY CODE
NY
Enumeration date
01/25/2012
Last updated
01/25/2012
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