Provider Demographics
NPI:1922333574
Name:FIGUEROA, CARMELITA ROSA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CARMELITA
Middle Name:ROSA
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 FOX CROFT VLG
Mailing Address - Street 2:9 ANDOVER LANE
Mailing Address - City:LOCH SHELDRAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12759-5412
Mailing Address - Country:US
Mailing Address - Phone:845-693-4897
Mailing Address - Fax:845-693-4897
Practice Address - Street 1:54W 40TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:845-292-3296
Practice Address - Fax:845-292-7330
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275488-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse