Provider Demographics
NPI:1205101698
Name:CARCONE, CONCETTA MARIA (RN, BS)
Entity type:Individual
Prefix:MRS
First Name:CONCETTA
Middle Name:MARIA
Last Name:CARCONE
Suffix:
Gender:F
Credentials:RN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 WILDWOOD RDG
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:NY
Mailing Address - Zip Code:13340-9107
Mailing Address - Country:US
Mailing Address - Phone:315-797-7437
Mailing Address - Fax:
Practice Address - Street 1:605 PALMER ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:NY
Practice Address - Zip Code:13340-1428
Practice Address - Country:US
Practice Address - Phone:315-894-1768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338248-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool