Provider Demographics
NPI:1063687903
Name:CARTER, STEVE CHESTERFIELD
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:CHESTERFIELD
Last Name:CARTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 STRONG ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-6415
Mailing Address - Country:US
Mailing Address - Phone:631-273-9853
Mailing Address - Fax:
Practice Address - Street 1:197 STRONG ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-6415
Practice Address - Country:US
Practice Address - Phone:631-273-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276007164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse