Individual
BRIANNE DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(516) 815-6218
Mailing address
23 GARDEN LN, CENTEREACH, NY 11720-2527
(516) 815-6218
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383626
NY
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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