Provider Demographics
NPI:1861248692
Name:ANTOINE, CAROLE FELIX (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:FELIX
Last Name:ANTOINE
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 DREW AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1641
Mailing Address - Country:US
Mailing Address - Phone:516-406-7535
Mailing Address - Fax:
Practice Address - Street 1:1202 DREW AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-1641
Practice Address - Country:US
Practice Address - Phone:516-406-7535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185310146N00000X
NY01N163482282472E0500X
NY342982350710R282E00000X
NY003197-01183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG
No282E00000XHospitalsLong Term Care Hospital