Individual
CAROL MARKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
147 VILLAGE CIR W, MANORVILLE, NY 11949-9671
(631) 874-8336
Mailing address
54 APPLEGATE DRIVE, MASTIC, MASTIC, NY 11950-9671
(347) 664-1155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
310984
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F311588-01
NY
Other
Enumeration date
06/20/2013
Last updated
01/18/2024
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