Provider Demographics
NPI:1134209604
Name:MOLETI, CAROLE ANN (FNP-BC, CNM, RN)
Entity type:Individual
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First Name:CAROLE
Middle Name:ANN
Last Name:MOLETI
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Gender:F
Credentials:FNP-BC, CNM, RN
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Mailing Address - Street 1:3380 RESERVOIR OVAL
Mailing Address - Street 2:MONTEFIORE MEDICAL CENTER-SCHOOL HEALTH PROGRAM
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-696-4060
Mailing Address - Fax:718-430-6316
Practice Address - Street 1:3000 EAST TREMONT AVENUE -ROOM B 34
Practice Address - Street 2:HERBERT H. LEHMAN HIGH SCHOOL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:11361
Practice Address - Country:US
Practice Address - Phone:718-430-6375
Practice Address - Fax:718-430-6316
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-08-06
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Provider Licenses
StateLicense IDTaxonomies
NY360313-1363LF0000X
NYF000233367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily