Carmen E. Elizondo in Middletown - Clinical
Carmen E. Elizondo - NPI 1073679619
Carmen E. Elizondo is a Clinical in Middletown, New York. Carmen E. Elizondo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carmen E. Elizondo is 1073679619. The last update date is 2016-04-04.
Carmen E. Elizondo's current location address is 155 Crystal Run Rd, Middletown, New York. You can contact this provider via phone number 8457036999 and fax number 8457036297. The mailing address for Carmen E. Elizondo is 155 Crystal Run Rd, Middletown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmen E. Elizondo |
|---|---|
| Address | 155 Crystal Run Rd, Middletown, New York |
| Phone Number | 8457036999 |
| Fax Number | 8457036297 |
| Sole Proprietor | N |
| Credentials | LCSW-PSY.D |
NPI Number Detail
| NPI Number | 1073679619 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2016-04-04 |
Provider Mailing Address Detail
| Address | 155 Crystal Run Rd |
|---|---|
| City | Middletown |
| State | New York (NY) |
| Post Code | 109414028 |
| Phone Number | 8457036999 |
| Fax Number | 8457036297 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | RO29929-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20227847 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carmen E. Elizondo by the Centers for Medicare & Medicaid Services?
The Carmen E. Elizondo has been assigned the NPI (National Provider Identifier) 1073679619 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Carmen E. Elizondo's physical address?
The Carmen E. Elizondo is physically located at 155 Crystal Run Rd, in the city of Middletown, NY, with the postal code 109414028.
What is the area of specialization for Carmen E. Elizondo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carmen E. Elizondo is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Carmen E. Elizondo receive its 1073679619 assignment from the Centers for Medicare & Medicaid Services?
The Carmen E. Elizondo was assigned its 1073679619 on 2006-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Carmen E. Elizondo most recently updated or revised?
The details related to Carmen E. Elizondo, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-04.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC