Individual
MR. DAMON CARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Mailing address
790 PARK AVE, HUNTINGTON, NY 11743-4516
(631) 427-3700
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
707665-1
NY
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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