Doctor Name: | DAWN CARRERA |
NPI Number: | 1528376621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 379765-1 |
Business Practice Address: | 499 Main Road Aquebogue School Aquebogue, NY - 11931 |
Business Phone Number: | 6313696782 |
Business Fax Number: | 6313690543 |
Mailing Address: | Po Box 1200, Aquebogue School AQUEBOGUE |
State: | NY |
Postal Code: | 119311200 |
Phone Number: | 6313696782 |
Fax Number: | 6313690543 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 379765-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |