Carl Mark Cacciotti
Nurse Practitioner - Gerontology
81 Sweetmilk Creek Rd
Troy
, New York 12180-9100
Carl Mark Cacciotti
Nurse Practitioner - Gerontology
81 Sweetmilk Creek Rd
Troy
, New York 12180-9100
(518) 330-3396
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Carl Mark Cacciotti
- 81 Sweetmilk Creek Rd
- Troy, NY
- Zip : 12180-9100
- Phone : (518) 330-3396
Second Address
- Carl Mark Cacciotti
- 81 Sweetmilk Creek Rd
- Troy, NY
- Zip : 12180-9100
- Phone : (518) 330-3396
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | F309865 | NY |
National Provider Identifier
| NPI | 1063013415 |
|---|---|
| Provider Name | Carl Mark Cacciotti |
| First Address | Troy, NY 12180-9100 |
| Second Address | Troy, NY 12180-9100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.