Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 187328 | NY |
NPI | 1033241955 |
---|---|
Provider Name | Michael Carciente |
First Address | Brooklyn, NY 11225-3009 |
Second Address | Brooklyn, NY 11225-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |