Provider Demographics
NPI:1235498544
Name:DALMEUS, CARMENE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CARMENE
Middle Name:
Last Name:DALMEUS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 HAVERSTRAW RD
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2702
Mailing Address - Country:US
Mailing Address - Phone:845-300-4316
Mailing Address - Fax:845-362-0921
Practice Address - Street 1:696 HAVERSTRAW RD
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-2702
Practice Address - Country:US
Practice Address - Phone:845-300-4204
Practice Address - Fax:845-362-0921
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306061363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care