Individual
MISS CAROLE JANE PELAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 FORRESTAL HTS, BEACON, NY 12508-3733
(845) 797-0258
Mailing address
7 ROUNDTREE CT, BEACON, NY 12508-2117
(845) 797-0258
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
225813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747A0650X
—
NY
Enumeration date
09/15/2020
Last updated
11/27/2023
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