Individual
MRS. CARLY MARISA ESTEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5144
(845) 475-9646
Mailing address
933 HUNTINGTON DR, FISHKILL, NY 12524-4985
(845) 926-6375
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430913
NY
363LA2100X
Acute Care Nurse Practitioner
R192153
MD
Other
Enumeration date
01/29/2014
Last updated
11/02/2015
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