Provider Demographics
NPI:1003162835
Name:LOSEY, CAROL W (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:W
Last Name:LOSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 KING ST
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3802
Mailing Address - Country:US
Mailing Address - Phone:914-238-5560
Mailing Address - Fax:914-238-5285
Practice Address - Street 1:650 KING ST
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3802
Practice Address - Country:US
Practice Address - Phone:914-238-5560
Practice Address - Fax:914-238-5285
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225673-1163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse