Individual provider · Type 1 NPI
Caroline Larosa
Psychiatric/Mental Health Nurse Practitioner · Hauppauge, NY
NPI number
1114635786
Active
Practice location
111 Smithtown Byp Ste 204
Hauppauge, NY 11788-2512
Mailing address
78 Broadway
Malverne, NY 11565-1635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F404384-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114635786
Caroline Larosa's National Provider Identifier is 1114635786, issued on Nov 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hauppauge, NY. The record was last updated on Nov 11, 2022.