Individual
MRS. AUDREY DEBORAH CARROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7002 54TH AVE, MASPETH, NY 11378-1745
(718) 396-2602
(718) 429-5162
Mailing address
7002 54TH AVE, MASPETH, NY 11378-1745
(718) 396-2602
(718) 429-5162
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22461297
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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