Via, Caroline Rose

Via, Caroline Rose is an individual health care provider with primary practice located at 415 Northern Blvd , Great Neck NY 11021-4812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Via, Caroline Rose can be contacted via phone (516) 829-2273.

Contact Information

Primary practice address
415 Northern Blvd Great Neck NY 11021-4812
Phone: (516) 829-2273
Fax: (516) 829-2272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 243869-1 New York

Profile Details

NPI number 1750588430
LBN Legal business name Via, Caroline Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Dec 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750588430 NPPES
New York MEDICAID 02916714

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