Individual
DEBORAH MARY CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN NPP
Contact information
Practice address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720
(631) 737-6434
Mailing address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720
(631) 737-6434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
384611-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401495
NY
Other
Enumeration date
03/31/2010
Last updated
12/02/2012
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