Individual
CAROL YANNICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
(845) 338-6284
Mailing address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
(845) 338-6284
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
212872
NY
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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