Walcott, Carena Laurel
Walcott, Carena Laurel is an individual health care provider with primary practice located at 11220 Liberty Ave , South Richmond Hill NY 11419-1814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walcott, Carena Laurel can be contacted via phone (718) 554-6600.Contact Information
Primary practice address
11220 Liberty Ave
South Richmond Hill NY 11419-1814
Phone: (718) 554-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F342127-1 | New York |
Profile Details
| NPI number | 1578034989 |
|---|---|
| LBN Legal business name | Walcott, Carena Laurel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2018 |
| Last updated | Dec 10th, 2018 - about 6 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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