Individual
CAROL THERESA RUANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-4833
(631) 553-8347
Mailing address
265 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-4833
(631) 553-8347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
376667-01
NY
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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