Most Relevant Information
Provider Data
| NPI Number: | 1003467432 |
| Provider Name: | CAROLYN A LIGHT LCAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 002767-01 |
Most Important Dates
| Enumeration Date: | 09/26/2019 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
586 PRESIDENT ST
BROOKLYN
NY
112152034
Practice Location Phone/Fax
| Phone: | 9173976760 |
| Fax: |
Provider Mailing Location
260 HARRISON AVE APT 202
JERSEY CITY
NJ
073041754
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |