Individual
MRS. LOURDES BIGORNIA CARLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571
(516) 705-2525
Mailing address
P.O BOX 798, ROCKVILLE CENTRE, NY 11570
(516) 705-1403
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002406
NY
Other
Enumeration date
07/04/2006
Last updated
07/19/2018
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