Healthcare Provider Details

I. General information

NPI: 1134209604
Provider Name (Legal Business Name): CAROLE ANN MOLETI FNP-BC, CNM, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 EAST TREMONT AVENUE -ROOM B 34 HERBERT H. LEHMAN HIGH SCHOOL
BRONX NY
11361
US

IV. Provider business mailing address

3380 RESERVOIR OVAL MONTEFIORE MEDICAL CENTER-SCHOOL HEALTH PROGRAM
BRONX NY
10467
US

V. Phone/Fax

Practice location:
  • Phone: 718-430-6375
  • Fax: 718-430-6316
Mailing address:
  • Phone: 718-696-4060
  • Fax: 718-430-6316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360313-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF000233
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: