Individual provider · Type 1 NPI

Carolina Square

Specialist · Staten Island, NY

NPI number 1043643372 Active

Practice location

2724 Victory Blvd, Apt. 2B
Staten Island, NY 10314-6643

Call (347) 820-2320 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X761490131 (NY)
Specialist 174400000X761489131 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043643372

Carolina Square's National Provider Identifier is 1043643372, issued on Aug 9, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 9, 2013.