Individual
CAROL GARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 WILLIAM ST, VALLEY STREAM, NY 11580-1030
(347) 249-3927
(718) 346-2141
Mailing address
52 WILLIAM ST, VALLEY STREAM, NY 11580-1030
(347) 249-3927
(718) 346-2141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
645476951
NY
Other
Enumeration date
05/09/2015
Last updated
05/09/2015
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