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Individual

CARA CIPRIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1239 N COUNTRY RD, STONY BROOK, NY 11790-1934
(631) 605-1968
Mailing address
1239 N COUNTRY RD, SUITE 8A, STONY BROOK, NY 11790-1934

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025499-1
NY

Other

Enumeration date
11/03/2011
Last updated
12/07/2012
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