Individual
MRS. CAROLYN HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 TEED ST, HUNTINGTON STATION, NY 11746-4332
(917) 929-1366
Mailing address
10 TEED ST, HUNTINGTON STATION, NY 11746-4332
(917) 929-1366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
683176-1
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
683176-1
NY
Other
Enumeration date
04/24/2020
Last updated
07/25/2024
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