Macoretta, Karmell J

Macoretta, Karmell J is an individual health care provider with primary practice located at 342 Harris Hill Rd Ste 5, Williamsville NY 14221-7472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Macoretta, Karmell J can be contacted via phone (716) 204-0777.

Contact Information

Primary practice address
342 Harris Hill Rd Ste 5 Williamsville NY 14221-7472
Phone: (716) 204-0777
Fax: (716) 204-0774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303928 New York

Profile Details

NPI number 1154324028
LBN Legal business name Macoretta, Karmell J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 1st, 2009 - about 15 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 1154324028 NPPES
New York Other 00026585601 UNIVERA
New York MEDICAID 02499521 UNIVERA
New York Other 9512183 UNIVERA
New York Other 000560843001 UNIVERA

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