Maricle, Carlton A

Maricle, Carlton A is an individual health care provider with primary practice located at 97 W Gansevoort St , Little Falls NY 13365-1348. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Maricle, Carlton A can be contacted via phone (315) 823-1874.

Contact Information

Primary practice address
97 W Gansevoort St Little Falls NY 13365-1348
Fax: (315) 823-4893
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000878-1 New York

Profile Details

NPI number 1457380842
LBN Legal business name Maricle, Carlton A
Credentials MA CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1457380842 NPPES
New York MEDICAID 01106216

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