Healthcare Provider Details

I. General information

NPI: 1922312719
Provider Name (Legal Business Name): ANTOINETTE LINDSAY-CARY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 COURTLANDT AVE APT 6A
BRONX NY
10451-5066
US

IV. Provider business mailing address

731 COURTLANDT AVE APT 6A
BRONX NY
10451-5066
US

V. Phone/Fax

Practice location:
  • Phone: 718-993-6080
  • Fax:
Mailing address:
  • Phone: 718-993-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number503692
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: