Provider Demographics
NPI:1275246332
Name:ROWE, CAELEY ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:CAELEY
Middle Name:ELIZABETH
Last Name:ROWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 143
Mailing Address - Street 2:
Mailing Address - City:STAATSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12580-0143
Mailing Address - Country:US
Mailing Address - Phone:845-637-7007
Mailing Address - Fax:
Practice Address - Street 1:8 MARKET ST
Practice Address - Street 2:
Practice Address - City:STAATSBURG
Practice Address - State:NY
Practice Address - Zip Code:12580-5266
Practice Address - Country:US
Practice Address - Phone:845-637-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist