Provider Demographics
NPI:1063716116
Name:CARISTHENE, BARABARA (LPN)
Entity type:Individual
Prefix:MISS
First Name:BARABARA
Middle Name:
Last Name:CARISTHENE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 CHURCH AVE
Mailing Address - Street 2:APT. 8
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4036
Mailing Address - Country:US
Mailing Address - Phone:347-432-4384
Mailing Address - Fax:
Practice Address - Street 1:2535 CHURCH AVE
Practice Address - Street 2:APT. 8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4036
Practice Address - Country:US
Practice Address - Phone:347-432-4384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303813-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse