Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N-004712 | NY |
Y | 222Z00000X | Podiatrist | N-004712 | NY |
N | 213ES0131X | Foot Surgery | N-004712 | NY |
NPI | 1306844717 |
---|---|
Provider Name | Dr. Michael Paul Carioscia |
First Address | Yorktown Heights, NY 10598-4108 |
Second Address | Yorktown Heights, NY 10598-4108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2005 |
Last Update Date | 19/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U06471 | (02) | NY |