Individual
CARMEN MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9715 64TH RD, REGO PARK, NY 11374-2250
(718) 459-5592
(718) 459-6047
Mailing address
12939 157TH ST, JAMAICA, NY 11434-2845
(718) 481-9875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
218742
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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