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Dr. Carole Commodore, DPM
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1568166106

Carole Commodore is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Carole Commodore practices in Stony Brook, NY and has the professional credentials of DPM. The NPI Number for Carole Commodore is 1568166106 and holds a License No. (New York).

The current practice location address for Carole Commodore is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-2037.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568166106
Provider Name
Carole Commodore
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11794-0001
Phone Number
631-444-2037
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2037
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2037
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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