Caracciolo, Keri E.

Caracciolo, Keri E. is an individual health care provider with primary practice located at 4 Commerce Ln , Canton NY 13617-3739. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Caracciolo, Keri E. can be contacted via phone (315) 386-8191.

Contact Information

Primary practice address
4 Commerce Ln Canton NY 13617-3739
Phone: (315) 386-8191
Fax: (315) 386-1410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 018467 New York

Profile Details

NPI number 1316287378
LBN Legal business name Caracciolo, Keri E.
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Feb 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316287378 NPPES
New York MEDICAID 01995615

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