Healthcare Provider Details

I. General information

NPI: 1518596808
Provider Name (Legal Business Name): CARAMEN THERAPY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421B S BROADWAY
YONKERS NY
10705-1070
US

IV. Provider business mailing address

60 KNOX AVE
CLIFFSIDE PARK NJ
07010-3102
US

V. Phone/Fax

Practice location:
  • Phone: 201-713-8367
  • Fax:
Mailing address:
  • Phone: 201-713-8367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JEANETTE MARIE LEDDA
Title or Position: DIRECTOR
Credential:
Phone: 201-713-8367