Carolyn Anderson
Individual provider Active NPI Licensed Practical Nurse · Hicksville, NY
NPI 1295983732 · NPPES record last updated Sep 8, 2008
Key facts
- NPI
- 1295983732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 165841 (NY)
- Practice address
- 105 Halsey Ave
Hicksville, NY 11801-4826 - Phone
- (516) 942-2610
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165841 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 165841 | NY | Yes |
Addresses
Primary practice location
105 Halsey Ave
Hicksville, NY 11801-4826
Mailing address
105 Halsey Ave
Hicksville, NY 11801-4826
Phone (516) 942-2610
Other providers in Hicksville, NY
- American Dental Offices, P.L.L.C.
- Amk Psychiatry PLLC
- Amken Orthopedics, Inc.
- John Amorin
- Armenuhi Ananyan
- Christopher Anderson
- Petula Anesia Anderson
- Angel Touch Physical Therapy Hicksville PC
- Jane Angel
- Anhad Health Inc.
All providers in Hicksville, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.