Provider Demographics
NPI:1598069304
Name:TOBIN, CAROLYN S (RN)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:S
Last Name:TOBIN
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 1:202 RIDGETOP LN
Mailing Address - Street 2:REED FARM
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-6013
Mailing Address - Country:US
Mailing Address - Phone:845-279-0443
Mailing Address - Fax:
Practice Address - Street 1:202 RIDGETOP LN
Practice Address - Street 2:REED FARM
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-6013
Practice Address - Country:US
Practice Address - Phone:845-279-0443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-08
Last Update Date:2011-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244419163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse