Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Carolina Square

Individual provider Specialist · NPI 1043643372

Mrs. Carolina Square is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

2724 Victory Blvd Apt 2B
Staten Island, NY 10314-6643
Phone: (347) 820-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 761490131 (NY)
Specialist Taxonomy 174400000X · Licence 761489131 (NY)

Record details

NPI number1043643372
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2013
Last updated in NPPESAugust 9, 2013

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