Provider Demographics
NPI:1710310214
Name:KLEIMAN, CAROLINA (RN)
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:KLEIMAN
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 1:403 PAWNEE CT
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4123
Mailing Address - Country:US
Mailing Address - Phone:845-369-9498
Mailing Address - Fax:
Practice Address - Street 1:403 PAWNEE CT
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4123
Practice Address - Country:US
Practice Address - Phone:845-369-9498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY743834-01163W00000X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty