Provider Demographics
NPI:1144711623
Name:CARSTEN, DENISE M
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:CARSTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-1244
Mailing Address - Country:US
Mailing Address - Phone:646-369-0486
Mailing Address - Fax:
Practice Address - Street 1:357 WALKER ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2706
Practice Address - Country:US
Practice Address - Phone:347-681-0939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech