Individual
MS. CAROL MARIE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02712169
—
NY
Enumeration date
03/23/2006
Last updated
04/24/2008
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