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Individual

MRS. DONNA CARRATURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
101 OLD POST DRIVE, HAUPPAUGE, NY 11788
(631) 831-8337
Mailing address
101 OLD POST DRIVE, HAUPPAUGE, NY 11788
(631) 831-8337

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-16-23292
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RBT-16-23292
NY
Enumeration date
09/23/2016
Last updated
09/23/2016
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