Healthcare Provider Details

I. General information

NPI: 1013823764
Provider Name (Legal Business Name): CAROLINA NEIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 HALPERIN AVE
BRONX NY
10461-2631
US

IV. Provider business mailing address

2626 HALPERIN AVE
BRONX NY
10461-2631
US

V. Phone/Fax

Practice location:
  • Phone: 646-350-1633
  • Fax: 347-919-4785
Mailing address:
  • Phone: 646-350-1633
  • Fax: 347-919-4785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116606
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: