MR. REMIL ANTONIO CARABALLO


Address: 2090 7th Ave, 7th Floor, New York, NY 10027-4990
Phone: 7187720201

MR. REMIL ANTONIO CARABALLO (NPI# 1336485200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336485200
Entity Type Individual
Full Name MR. REMIL ANTONIO CARABALLO
Credential CASAC-T
Practice Address 2090 7th Ave
7th Floor
New York
NY 10027-4990
Mailing Address 2640 8th Ave Apt 2c
New York
NY 10030-3426
Practice Telephone 7187720201
Practice Fax Number 7187720260
Mailing Telephone 2123654569
Enumeration Date 2012-12-21
Last Update Date 2012-12-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
27615 NY Behavioral Health & Social Service Providers

Office Location

Street Address 2090 7TH AVE
7TH FLOOR
City NEW YORK
State NY
Zip Code 10027-4990

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1912386327 Mellissa Gordon-nelson Social Worker 2090 7th Ave, New York, NY 10027-4990 2015-05-19
1376967679 Lisa Shammas Social Worker 2090 7th Ave, 7th Floor, New York, NY 10027-4990 2014-02-07
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1194147967 Shamika Brodnax In Home Supportive Care 2090 7th Ave, New York, NY 10027-4990 2014-01-14
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1831660620 Katherine Gonzalez Licensed Practical Nurse 119 121 W 124th Street, New York, NY 10027 2018-12-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1366913196 Mavis H Baird Counselor 243 W 99th St #3e, New York, NY 10025 2018-12-05
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Competitor

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City NEW YORK
Zip Code 10027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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