Individual
MR. ANTHONY CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 E 83RD ST APT 2D, NEW YORK, NY 10028-6108
(201) 981-2940
Mailing address
417 E 83RD ST APT 2D, NEW YORK, NY 10028-6108
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401957-1
NY
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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