Mohedano-Craner, Carolyn

Mohedano-Craner, Carolyn is an individual health care provider with primary practice located at 105 Stevens Ave Suite 203, Mount Vernon NY 10550-2686. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mohedano-Craner, Carolyn can be contacted via phone (914) 668-7442.

Contact Information

Primary practice address
105 Stevens Ave Suite 203 Mount Vernon NY 10550-2686
Fax: (914) 668-4669
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005691 New York

Profile Details

NPI number 1144396128
LBN Legal business name Mohedano-Craner, Carolyn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144396128 NPPES
New York MEDICAID 01608364

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