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General NPI Number Information
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NPI Number | 1184445835
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Entity Type | Organization
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Legal Business Name | CARUSO-CARE, NP IN PSYCHIATRY, P.C.
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 28 BOX ST APT N219 S FL 2/BUSINESS STE
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City | BROOKLYN
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State | NY
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Zip | 11222-5585
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Country | US
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Telephone | 929-683-3320
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Fax | 866-275-8660
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Provider Business Mailing Address
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Address Line | 28 BOX ST APT N219
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City | BROOKLYN
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State | NY
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Zip | 11222-5585
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Country | US
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Telephone | 631-747-8121
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Fax | 866-275-8660
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Authorized Official
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Title or Position | OWNER/CEO/PROVIDER
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Name | MR. DEREK S. CARUSO
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Credential | MSN, PMHNP-BC, APRN
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Telephone | 631-747-8121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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