Individual
CARL PLAISIMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
87 EISENHOWER AVE, BRENTWOOD, NY 11717-1001
(631) 926-7261
Mailing address
169 N 28TH ST, WHEATLEY HEIGHTS, NY 11798-2008
(631) 926-7261
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301130
NY
Other
Enumeration date
09/29/2010
Last updated
03/26/2025
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