Maciariello, Laura

Maciariello, Laura is an individual health care provider with primary practice located at 79 Vandenburgh Ave , Troy NY 12180. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Maciariello, Laura can be contacted via phone (518) 286-3000.

Contact Information

Primary practice address
79 Vandenburgh Ave Troy NY 12180
Phone: (518) 286-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 337898 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 283908 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1034940 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337898 New York

Profile Details

NPI number 1730420969
LBN Legal business name Maciariello, Laura
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2013
Last updated Mar 13th, 2019 - about 6 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 1730420969 NPPES
New York MEDICAID 03585577

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