Individual
CARINE R.V. RENOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 POST AVE STE 102, WESTBURY, NY 11590-2258
(631) 747-7673
Mailing address
953 FRONT ST, UNIONDALE, NY 11553-1543
(631) 747-7673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346487-01
NY
Other
Enumeration date
09/02/2020
Last updated
08/18/2021
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