Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F303180 | NY |
NPI | 1003944943 |
---|---|
Provider Name | Margaret A Cariola |
First Address | East Setauket, NY 11733-3327 |
Second Address | East Setauket, NY 11733-3327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P26140 | (02) | NY |