Individual
CONNIE CARRO-PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 GLENWOOD AVE, MILLER PLACE, NY 11764-2316
(631) 428-6353
Mailing address
9 GLENWOOD AVE, MILLER PLACE, NY 11764-2316
(631) 428-6353
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
190779-01
NY
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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