Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | NY | |
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | NY | |
N | 175L00000X | Homeopath |
NPI | 1891457073 |
---|---|
Provider Name | Haydee Carrasquillo |
First Address | New Windsor, NY 12553-7250 |
Second Address | New Windsor, NY 12553-7250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2021 |
Last Update Date | 06/10/2021 |