Individual
CARINA BOUTSIKAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
275 SHELDON AVE, STATEN ISLAND, NY 10312-2909
(917) 923-3256
Mailing address
275 SHELDON AVE, STATEN ISLAND, NY 10312-2909
(917) 923-3256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694709-1
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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