Most Relevant Information
Provider Data
| NPI Number: | 1003328428 |
| Provider Name: | HOLLY CARPENTER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 585441 |
Most Important Dates
| Enumeration Date: | 10/25/2017 |
| Last Updated: | 10/25/2017 |
Provider Practice Location
300 CENTER DR FL 2
RIVERHEAD
NY
119013393
Practice Location Phone/Fax
| Phone: | 6318522680 |
| Fax: | 6318522674 |
Provider Mailing Location
11 LOWER ROCKY POINT RD
MILLER PLACE
NY
117641632
Provider Mailing Phone/Fax
| Phone: | 6318339080 |
| Fax: |