Healthcare Provider Details

I. General information

NPI: 1447527262
Provider Name (Legal Business Name): CAROLE SCHAUL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2011
Last Update Date: 11/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1597 LAUREL HOLLOW RD
SYOSSET NY
11791-9636
US

IV. Provider business mailing address

48 PINE DR
COLD SPRING HARBOR NY
11724-1618
US

V. Phone/Fax

Practice location:
  • Phone: 516-692-7950
  • Fax: 516-692-4845
Mailing address:
  • Phone: 631-367-8646
  • Fax: 516-692-4845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number377330-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: