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Individual

COLLEEN CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
168 HILL STREET, SOUTHAMPTON, NY 11968
(631) 331-6400
Mailing address
25 WINDING PATH APT. 12, MANORVILLE, NY 11949
(631) 764-0136

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/01/2018
Last updated
09/01/2018
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