Healthcare Provider Details

I. General information

NPI: 1881514933
Provider Name (Legal Business Name): CAROLINE LOPES DUARTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NEW HEMPSTEAD RD
NEW CITY NY
10956-3631
US

IV. Provider business mailing address

12 WRIGHT ST
PEARL RIVER NY
10965-1926
US

V. Phone/Fax

Practice location:
  • Phone: 845-638-0303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number22HI01328100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number033868
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: