MEDICARE: CARLINE SAINT-CYR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN310323	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	99-2904762	OTHER	PA	IRS

General Provider Information

NPI Number	:	1811828429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLINE SAINT-CYR

Provider Business Mailing Address
First Line	:	1807 OAKMONT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3404
Country	:	US
Telephone Number	:	215-833-4326
Fax Number	:	215-833-4326

Provider Business Practice Location Address
First Line	:	6633 RUTLAND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-2129
Country	:	US
Telephone Number	:	215-833-4326
Fax Number	:	215-722-1971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ CARLINE SAINT-CYR ” Practice Location

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