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Individual

MRS. CAROL O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
207 HALLOCK RD SUITE 201, STONYBROOK, NY 11790-3073
(631) 689-8920
(631) 689-8955
Mailing address
207 HALLOCK RD SUITE 201, INTERIM HEALTHCARE, STONYBROOK, NY 11790-3073
(631) 689-8920
(631) 689-8955

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
376109-1
NY

Other

Enumeration date
04/26/2010
Last updated
04/26/2010
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