Individual
DR. DEBORA A FUENTES CARBALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1985 MARCUS AVE STE 130, NEW HYDE PARK, NY 11042-2024
(877) 227-3405
Mailing address
53 CLARKE ST, BRENTWOOD, NY 11717-2023
(631) 355-6895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
073717
NY
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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