Individual
ANA M CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 188TH ST, FRESH MEADOWS, NY 11365-3767
(718) 454-6460
Mailing address
66 TULIP AVE APT 5D, FLORAL PARK, NY 11001-1810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/27/2023
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