| NPI | 1184445835 |
|---|---|
| Other Name | DEREK S. CARUSO (LEGAL PERSONAL NAME/OWNER OF ORGANIZATION) |
| Entity Type | Organization |
| Authorized Contact | DEREK S. CARUSO Owner/CEO/Provider 631-747-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-09-09 |