Individual
CARLA BOEREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GARDINER DR, BAY SHORE, NY 11706-6314
(631) 206-4669
Mailing address
1060 GARDINER DR, BAY SHORE, NY 11706-6314
(631) 206-4669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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