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1265807846
COLLEEN CARMODY
MASSAPEQUA, NY
NPI
1265807846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: NY 350394)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- COLLEEN CARMODY
148 SAINT MARKS PL
MASSAPEQUA, NY 11758-6422
Phone number: 516-376-7082
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Mailing Address
-- COLLEEN CARMODY
148 SAINT MARKS PL
MASSAPEQUA, NY 11758-6422
Phone number:
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