Provider Demographics
NPI:1487814901
Name:CABORAL, MERIAM F (MSN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:MERIAM
Middle Name:F
Last Name:CABORAL
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:BOX 22
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-270-7651
Mailing Address - Fax:718-270-2917
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:BOX 22
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-7651
Practice Address - Fax:718-270-2917
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF303491363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health