Provider Demographics
NPI:1902005424
Name:ENGLISH, CAROLYN MARGERITHERE
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:MARGERITHERE
Last Name:ENGLISH
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 1:65 COLUMBIA ST APT 21K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2721
Mailing Address - Country:US
Mailing Address - Phone:212-529-0707
Mailing Address - Fax:
Practice Address - Street 1:65 COLUMBIA ST APT 21K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2721
Practice Address - Country:US
Practice Address - Phone:212-529-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188430163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02744750Medicaid