Healthcare Provider Details

I. General information

NPI: 1942548250
Provider Name (Legal Business Name): CARERITE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2013
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 CO OP CITY BLVD
BRONX NY
10475-1603
US

IV. Provider business mailing address

52 BROADWAY # B SUITE
BROOKLYN NY
11249-5970
US

V. Phone/Fax

Practice location:
  • Phone: 212-764-0008
  • Fax: 888-420-9690
Mailing address:
  • Phone: 347-909-1811
  • Fax: 888-420-9690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: SOLOMON KLEIN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 347-909-1811