Individual
JEANNE MARIE CARBONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1415 E. THIRD AVE, BAY SHORE, NY 11706-4221
(631) 968-1202
(631) 968-2389
Mailing address
792 SANDRA AVE, WEST ISLIP, NY 11795-2531
(631) 669-0430
(631) 422-0558
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
393702
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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