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1104291814
ANTONIO CARAVELLO
BRENTWOOD, NY
NPI
1104291814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 315145)
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
-- ANTONIO CARAVELLO
6 W END AVE
BRENTWOOD, NY 11717-1615
Phone number: 631-745-2223
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Mailing Address
-- ANTONIO CARAVELLO
6 W END AVE
BRENTWOOD, NY 11717-1615
Phone number: 631-745-2223
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