Individual
CARLY DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26 WOODVALE AVE, KINGS PARK, NY 11754-1028
(516) 319-8188
Mailing address
26 WOODVALE AVE, KINGS PARK, NY 11754-1028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
342761-01
NY
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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