Provider Demographics
NPI:1700586591
Name:CARMELLE CIME DOCTOR OF NURSING PRACTICE FAMILY HEALTH NP PLLC
Entity Type:Organization
Organization Name:CARMELLE CIME DOCTOR OF NURSING PRACTICE FAMILY HEALTH NP PLLC
Other - Org Name:IVY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CIME
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:347-613-2824
Mailing Address - Street 1:3 E EVERGREEN RD # 219
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5145
Mailing Address - Country:US
Mailing Address - Phone:347-613-2824
Mailing Address - Fax:
Practice Address - Street 1:3 E EVERGREEN RD # 219
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5145
Practice Address - Country:US
Practice Address - Phone:347-613-2824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health