Provider Demographics
NPI:1447241534
Name:ARROYO, CARMEN ROSA (MS/CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:ROSA
Last Name:ARROYO
Suffix:
Gender:F
Credentials:MS/CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 TOMPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2601
Mailing Address - Country:US
Mailing Address - Phone:917-485-7752
Mailing Address - Fax:718-551-0339
Practice Address - Street 1:119 TOMPKINS AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2601
Practice Address - Country:US
Practice Address - Phone:917-485-7752
Practice Address - Fax:718-551-0339
Is Sole Proprietor?:No
Enumeration Date:2005-10-29
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00068100363LP0200X
NYF382690-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics