Constance Decarlo
Registered Nurse in Mastic Beach, NY. Individual provider (NPI-1).
NPI number1609113992
StatusActive
Last updated in NPPESJan 7, 2013
Details
- NPI
- 1609113992
- Entity type
- Individual (NPI-1)
- Name
- Constance Decarlo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2013
- Last updated
- Jan 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 263714 | NY | Yes |
Practice location
313 Forest Rd WMastic Beach, NY 11951-5820
Phone 631-281-3712
Mailing address
313 Forest Rd WMastic Beach, NY 11951-5820
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