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1659932937
CARBON MINDS LLC
VALLEY STREAM, NY
NPI
1659932937
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Entity Type
Organization
Authorized Contact
ROBERT TERRELONGE
CEO
347-755-5214
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
CARBON MINDS LLC
95 DARTMOUTH ST
VALLEY STREAM, NY 11581-3215
Phone number: 347-755-5214
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Mailing Address
CARBON MINDS LLC
95 DARTMOUTH ST
VALLEY STREAM, NY 11581-3215
Phone number: 347-755-5214
Copy
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