Provider Demographics
NPI:1811229313
Name:CARUSO, ROSEMARY
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:CARUSO
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 1:1357 ROUTE 9
Mailing Address - Street 2:ALPINE COMMONS
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4420
Mailing Address - Country:US
Mailing Address - Phone:845-298-7284
Mailing Address - Fax:845-298-1447
Practice Address - Street 1:1357 ROUTE 9
Practice Address - Street 2:ALPINE COMMONS
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4420
Practice Address - Country:US
Practice Address - Phone:845-298-7284
Practice Address - Fax:845-298-1447
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist