Provider Demographics
NPI:1295975159
Name:CARIOTI, CAROL ANN (NP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:CARIOTI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 ROUTE 11A
Mailing Address - Street 2:ONONDAGA NATION HEALTH CENTER
Mailing Address - City:NEDROW
Mailing Address - State:NY
Mailing Address - Zip Code:13120
Mailing Address - Country:US
Mailing Address - Phone:315-469-6449
Mailing Address - Fax:315-469-0593
Practice Address - Street 1:101 HAMDEN DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13208-1936
Practice Address - Country:US
Practice Address - Phone:315-469-6449
Practice Address - Fax:315-469-0593
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302401363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health