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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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