Individual
MS. CAROL M VALKAVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
536 RENEE DR, BAYPORT, NY 11705-1239
(631) 868-0728
Mailing address
536 RENEE DR, BAYPORT, NY 11705-1239
(631) 868-0728
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
456228-1
NY
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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