Individual
MARIBETH A CARLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
006082
NY
363AS0400X
Surgical Physician Assistant
Primary
4711
SC
Other
Enumeration date
09/15/2006
Last updated
04/05/2023
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