Individual
MS. NANCY L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 SEAVIEW AVE, STATEN ISLAND, NY 10305-3401
(718) 226-6279
(718) 226-8144
Mailing address
1 EDGEWATER ST, 6TH FL. PAYER RELATIONS, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02268106
—
NY
Enumeration date
07/11/2006
Last updated
05/21/2008
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