MEDICARE: ANTOINETTE LINDSAY-CARY RN

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	503692	NY

General Provider Information

NPI Number	:	1922312719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE LINDSAY-CARY RN

Provider Business Mailing Address
First Line	:	731 COURTLANDT AVE
Second Line	:	APT 6A
City	:	BRONX
State	:	NY
Zip	:	10451-5066
Country	:	US
Telephone Number	:	718-993-6080
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 COURTLANDT AVE
Second Line	:	APT 6A
City	:	BRONX
State	:	NY
Zip	:	10451-5066
Country	:	US
Telephone Number	:	718-993-6080
Fax Number	:

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

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	12/19/2011

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