Individual
KARLA IMONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
3534 GREAT NECK RD, AMITYVILLE, NY 11701-1921
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
743596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743596
—
NY
Enumeration date
01/19/2018
Last updated
01/19/2018
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