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1033764006
JEANINE MICHELLE CARNIVAL
STONY BROOK, NY
NPI
1033764006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F308885)
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
JEANINE MICHELLE CARNIVAL MS, RN, AGNP-C, CCRN
101 NICHOLLS ROAD STONY BROOK HOSPITA
STONY BROOK, NY 11794-0001
Phone number: 631-444-1665
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Mailing Address
JEANINE MICHELLE CARNIVAL MS, RN, AGNP-C, CCRN
101 NICHOLLS ROAD STONY BROOK HOSPITA
STONY BROOK, NY 11794-0001
Phone number: 631-444-1665
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