Provider Demographics
NPI:1700887924
Name:CARAIANI, NICOLAE S (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLAE
Middle Name:S
Last Name:CARAIANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2500 ROUTE 347
Mailing Address - Street 2:BUILDING 14A
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2554
Mailing Address - Country:US
Mailing Address - Phone:631-689-7800
Mailing Address - Fax:631-689-3016
Practice Address - Street 1:2500 ROUTE 347
Practice Address - Street 2:BUILDING 14A
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2554
Practice Address - Country:US
Practice Address - Phone:631-689-7800
Practice Address - Fax:631-689-3016
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY210688207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY807271OtherEMPIRE BLUECROSS BLUESHIE
NY390006005OtherMEDICARE RAILROAD
NY88014OtherVYTRA
NYP1041212OtherOXFORD
NY01861210Medicaid
NY807271Medicare ID - Type Unspecified
NYP1041212OtherOXFORD