Provider Demographics
NPI:1033980693
Name:CAREW, CAITLIN (MS)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:CAREW
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:MCSHANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 BI COUNTY BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3995
Mailing Address - Country:US
Mailing Address - Phone:516-512-9675
Mailing Address - Fax:
Practice Address - Street 1:500 BI COUNTY BLVD STE 450
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3995
Practice Address - Country:US
Practice Address - Phone:516-512-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1165414171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist