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Individual

CARLINE ITALIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1005 REMSEN AVE, BROOKLYN, NY 11236-3220
(860) 992-8170
Mailing address
1005 REMSEN AVE, BROOKLYN, NY 11236-3220

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318045
NY

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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Product
  • Claims
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  • EDI platform