Individual
CARL JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2245 SYCAMORE PL, MERRICK, NY 11566-2216
(718) 598-3421
Mailing address
2245 SYCAMORE PL, MERRICK, NY 11566-2216
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95244083
CA
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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