Provider Demographics
NPI:1851674550
Name:CAREY, TERESE NANNETTE (RN BSN NCSN)
Entity type:Individual
Prefix:MS
First Name:TERESE
Middle Name:NANNETTE
Last Name:CAREY
Suffix:
Gender:F
Credentials:RN BSN NCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 FOREST PK AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2938
Mailing Address - Country:US
Mailing Address - Phone:914-220-3510
Mailing Address - Fax:
Practice Address - Street 1:34 CHATSWORTH AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2925
Practice Address - Country:US
Practice Address - Phone:914-220-3510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY470238-1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)