Individual
MS. CAROL WATRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2110
Mailing address
PO BOX 33648, HARTFORD, CT 06150-3648
(631) 425-2121
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381215
NY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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