Individual
MS. CANDICE ANN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
3303 29TH ST, ASTORIA, NY 11106-3405
(631) 553-6698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431627
NY
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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