Carbonell, Bernadette Lopez

Carbonell, Bernadette Lopez is an individual health care provider with primary practice located at 14 Market Path , Setauket NY 11733-2223. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Carbonell, Bernadette Lopez can be contacted via phone (631) 689-3198.

Contact Information

Primary practice address
14 Market Path Setauket NY 11733-2223
Phone: (631) 689-3198
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 259643-1 New York

Profile Details

NPI number 1639321631
LBN Legal business name Carbonell, Bernadette Lopez
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639321631 NPPES
New York MEDICAID 259643-1

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