MEDICARE: MRS. JANICE CARUSELLE R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	271601	NY

General Provider Information

NPI Number	:	1629344031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANICE CARUSELLE R.N.

Provider Business Mailing Address
First Line	:	1 TELEPORT DR
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10311-1007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 TELEPORT DR
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10311-1007
Country	:	US
Telephone Number	:	347-630-1730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2012
Last Update Date	:	03/29/2012

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Directions to “ MRS. JANICE CARUSELLE R.N.” Practice Location

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