Provider Demographics
NPI:1750920674
Name:CARONE, THERESA NICOLE (AUD)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:NICOLE
Last Name:CARONE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:NICOLE
Other - Last Name:VITALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:14 WALDEN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-1345
Mailing Address - Country:US
Mailing Address - Phone:929-944-7478
Mailing Address - Fax:
Practice Address - Street 1:110 E 59TH ST RM 10A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1359
Practice Address - Country:US
Practice Address - Phone:212-434-4582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000059200237600000X
NY002872-01231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter