MEDICARE: REZA CAREW

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	164W00000X	Licensed Practical Nurse	342069	NY

General Provider Information

NPI Number	:	1669336079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REZA CAREW

Provider Business Mailing Address
First Line	:	533 E 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-4303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 E 49TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-4303
Country	:	US
Telephone Number	:	201-210-9746
Fax Number	:

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

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ REZA CAREW ” Practice Location

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