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Individual
BERNADETTE C. DECARLO
Active
Individual
BERNADETTE C. DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312852
NY
363LG0600X
Gerontology Nurse Practitioner
312852
NY
363LP2300X
Primary Care Nurse Practitioner
312852
NY
Other
Enumeration date
06/10/2026
Last updated
06/21/2026
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