Carnevale, Laura Diane

Carnevale, Laura Diane is an individual health care provider with primary practice located at 1450 Champlain Ave , Utica NY 13502-1350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carnevale, Laura Diane can be contacted via phone (315) 624-9000.

Contact Information

Primary practice address
1450 Champlain Ave Utica NY 13502-1350
Phone: (315) 624-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334980 New York

Profile Details

NPI number 1962617159
LBN Legal business name Carnevale, Laura Diane
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Aug 18th, 2020 - about 4 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 1962617159 NPPES
New York MEDICAID 03040824

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