Individual
BERNADETTE LOPEZ CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 MARKET PATH, SETAUKET, NY 11733-2223
(631) 689-3198
Mailing address
14 MARKET PATH, SETAUKET, NY 11733-2223
(631) 689-3198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
259643-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259643-1
—
NY
Enumeration date
10/21/2008
Last updated
10/21/2008
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