Provider Demographics
NPI:1245123926
Name:CAROTA, GENEVIEVE MARIE
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:MARIE
Last Name:CAROTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:CAROTA-MINIKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15 VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1203
Mailing Address - Country:US
Mailing Address - Phone:856-381-9010
Mailing Address - Fax:
Practice Address - Street 1:19 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1418
Practice Address - Country:US
Practice Address - Phone:315-853-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator