Individual
MRS. DOMINIQUE CARBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 PUTNAM DR, CARMEL, NY 10512-5165
(516) 492-9103
Mailing address
173 PUTNAM DR, CARMEL, NY 10512-5165
(516) 492-9103
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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