Healthcare Provider Details

I. General information

NPI: 1740814557
Provider Name (Legal Business Name): MADELINE CHRISTINE CAREY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 MANLY RD
TAFTON PA
18464-7829
US

IV. Provider business mailing address

601 PARK ST
HONESDALE PA
18431-1445
US

V. Phone/Fax

Practice location:
  • Phone: 570-226-2151
  • Fax:
Mailing address:
  • Phone: 570-226-2151
  • Fax: 570-226-1861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA005977
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: