Individual
MS. CARLINE VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-7000
Mailing address
21936 113TH AVE, QUEENS VILLAGE, NY 11429-2607
(718) 219-0811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
624939-1
NY
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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