Individual
JOHN VITO CARONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 WALNUT ST, MARGARETVILLE, NY 12455-0590
(845) 586-3224
(845) 586-3224
Mailing address
PO BOX 590, 75 WALNUT ST, MARGARETVILLE, NY 12455-0590
(845) 586-3224
(845) 586-3224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01171219
—
NY
Enumeration date
02/13/2007
Last updated
07/08/2007
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