Individual
MRS. CARLA JOAN DOUYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 1ST AVE, RM TH183, NEW YORK, NY 10016-6402
(212) 263-5058
Mailing address
903 TROY ST, ELMONT, NY 11003-5003
(516) 812-9556
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304335
NY
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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