Individual
MS. ANTONII CARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 TOMPKINS AVE, STATEN ISLAND, NY 10304-2601
(718) 876-1200
Mailing address
545 MANOR RD FL 2, STATEN ISLAND, NY 10314-2960
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315433-1
NY
Other
Enumeration date
11/13/2013
Last updated
11/26/2013
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