| D. S. Caruso, Psych-mental Health Rx, Inc. | |
|
28 Box Street Apt N219 Business Suite 1st Floor Brooklyn NY 11222-5584 | |
| (929) 683-3320 | |
| (929) 683-3320 |
| Full Name | D. S. Caruso, Psych-mental Health Rx, Inc. |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 28 Box Street Apt N219, Brooklyn, New York |
| Authorized Official Name and Position | Derek S. Caruso (OWNER/OFFICIAL OFFICER OF CORP.) |
| Authorized Official Contact | 9296833320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D. S. Caruso, Psych-mental Health Rx, Inc. 28 Box St Apt N219 Brooklyn NY 11222-5585 Ph: (929) 683-3320 | D. S. Caruso, Psych-mental Health Rx, Inc. 28 Box Street Apt N219 Business Suite 1st Floor Brooklyn NY 11222-5584 Ph: (929) 683-3320 |
| NPI Number | 1184445835 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184445835 | NPI | - | NPPES |
| 744382 | Other | NY | NYSED-OP (REGISTERED PROFESSIONAL NURSE) |
| 2019082532 | Other | NY | ANCC PSYCH-MENTAL HEALTH CERTIFICATION (REGISTERED NURSE) |
| 2023059078 | Other | NY | ANCC PSYCH-MENTAL HEALTH CERTIFICATION (NURSE PRACTITIONER) |
| F405609 | Other | NY | NYSED-OP (NURSE PRACTITIONER IN PSYCHIATRY) |
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