Individual
CARMEN ELISE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
5502 BRUSH HOLLOW RD, WESTBURY, NY 11590-1719
(516) 338-4466
Mailing address
14723 12TH AVE, WHITESTONE, NY 11357-1722
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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