Individual
CARMEN CONNELL-BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
589 E 86TH ST, BROOKLYN, NY 11236-3226
(917) 251-6586
Mailing address
589 E 86TH ST, BROOKLYN, NY 11236-3226
(917) 251-6586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
236262-1
NY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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