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MRS. CAROLINA SQUARE
NPI 1043643372
Specialist in Staten Island, NY

Active since August 09, 2013
2724 VICTORY BLVD, APT. 2B, STATEN ISLAND, NY 10314(347) 820-2320 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Carolina Square NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROLINA SQUARE (NPI 1043643372) is an individual specialist in Staten Island, New York, licensed in New York (761490131) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1043643372
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. CAROLINA SQUARE
Location Address2724 VICTORY BLVD, APT. 2BStaten Island, NY 10314-6643
Mailing Address2724 Victory Blvd, Apt. 2bStaten Island, NY 10314-6643 · (347) 820-2320
Phone(347) 820-2320
Sole ProprietorYes
Enumeration DateAugust 9, 2013
✔ NPI 1043643372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NY · 761490131✔ Licensed in NY · 761489131
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2724 VICTORY BLVD, Staten Island, NY 10314
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Square's NPI number?

The NPI number for Carolina Square is 1043643372. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Carolina Square located?

Carolina Square practices at 2724 Victory Blvd Apt. 2B, Staten Island, NY 10314. The listed phone number is (347) 820-2320.

What is Carolina Square's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Carolina Square was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.