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Individual

ADRIANA CARRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2780 3RD AVE, BRONX, NY 10455-4029
(718) 292-4640
Mailing address
1265 HAVEMEYER AVE APT 1R, BRONX, NY 10462-5343
(347) 679-5963

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
728820
NY

Other

Enumeration date
04/16/2020
Last updated
04/16/2020
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