Most Relevant Information
Provider Data
| NPI Number: | 1003063322 |
| Provider Name: | CAROLE MATHIEU LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 249543 |
Most Important Dates
| Enumeration Date: | 08/19/2008 |
| Last Updated: | 08/19/2008 |
Provider Practice Location
50 BROADWAY
LYNBROOK
NY
115632519
Practice Location Phone/Fax
| Phone: | 5168871200 |
| Fax: | 5165932848 |
Provider Mailing Location
50 BROADWAY
LYNBROOK
NY
115632519
Provider Mailing Phone/Fax
| Phone: | 5168871200 |
| Fax: | 5165932848 |