Individual
JORGE HUMBERTO CARPINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
HSC T16-020, STONY BROOK, NY 11794-3816
(631) 444-8478
(631) 444-7546
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
F304072 / 494154
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
304072
NY
Other
Enumeration date
08/20/2006
Last updated
12/05/2017
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