Provider Demographics
NPI:1578154761
Name:FRANKEL, CAROLYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYNN
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 RIDGELINE DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6267
Mailing Address - Country:US
Mailing Address - Phone:845-453-3791
Mailing Address - Fax:
Practice Address - Street 1:36 RIDGELINE DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-6267
Practice Address - Country:US
Practice Address - Phone:845-453-3791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY516571-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY516571-1OtherRN LICENSE