Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 9800485 | NC |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD420989 | PA |
NPI | 1003849977 |
---|---|
Provider Name | Patrick Carone |
First Address | Indiana, PA 15701-2488 |
Second Address | Indiana, PA 15701-2488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 04/05/2011 |