Healthcare Provider Details

I. General information

NPI: 1144379082
Provider Name (Legal Business Name): SVETLANA KARASINA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MAYFLOWER DR
BASKING RIDGE NJ
07920-3818
US

IV. Provider business mailing address

44 MAYFLOWER DR
BASKING RIDGE NJ
07920-3818
US

V. Phone/Fax

Practice location:
  • Phone: 908-470-0736
  • Fax: 908-326-3607
Mailing address:
  • Phone: 908-470-0736
  • Fax: 908-326-3607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number26NR08857300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: