Provider Demographics
NPI:1134790629
Name:CARISK SPECIALTY SERVICES, LLC
Entity type:Organization
Organization Name:CARISK SPECIALTY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARALEGAL
Authorized Official - Prefix:
Authorized Official - First Name:LANELLE ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PICINICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-451-2627
Mailing Address - Street 1:1901 STATE ROUTE 71 STE 2D
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3277
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1901 STATE ROUTE 71 STE 2D
Practice Address - Street 2:
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-3277
Practice Address - Country:US
Practice Address - Phone:973-451-9415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARISK PARTNERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization