Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 179125 | NY |
N | 2084N0400X | Neurologist | 179125 | NY |
Y | 2084N0600X | Clinical Neurophysiologist | 179125 | NY |
NPI | 1528085149 |
---|---|
Provider Name | Dr. Joseph Rosario Carcione JR. |
First Address | Harrison, NY 10528-1634 |
Second Address | Harrison, NY 10528-1634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 28/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F50203 | (02) | NY |