Caruso, Derek
Caruso, Derek is an individual health care provider with primary practice located at 623 Stewart Ave Ste 203 , Garden City NY 11530-4771. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Caruso, Derek can be contacted via phone (631) 673-3233.Contact Information
Primary practice address
623 Stewart Ave Ste 203
Garden City NY 11530-4771
Phone: (631) 673-3233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 086771-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F405069 | New York |
Profile Details
| NPI number | 1871841577 |
|---|---|
| LBN Legal business name | Caruso, Derek |
| Credentials | MSN, PMHNP-BC, APRN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2012 |
| Last updated | Jun 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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