Provider Demographics
NPI:1013192616
Name:OCASIO, CARMEN VERONICA (MASTERS DEGREE IN ED)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:VERONICA
Last Name:OCASIO
Suffix:
Gender:F
Credentials:MASTERS DEGREE IN ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 NYE ROAD
Mailing Address - Street 2:WBHN
Mailing Address - City:LYONS
Mailing Address - State:NY
Mailing Address - Zip Code:14489-9112
Mailing Address - Country:US
Mailing Address - Phone:315-946-5722
Mailing Address - Fax:
Practice Address - Street 1:1519 NYE ROAD
Practice Address - Street 2:WBHN
Practice Address - City:LYONS
Practice Address - State:NY
Practice Address - Zip Code:14489-9112
Practice Address - Country:US
Practice Address - Phone:315-946-5722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator