Individual
CHARITY BARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
32 GUSTO LN, ROOSEVELT, NY 11575-1828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
263018-1
NY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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