Individual
MRS. KARMELL J MACORETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
342 HARRIS HILL RD, STE 5, WILLIAMSVILLE, NY 14221-7472
(716) 204-0777
(716) 204-0774
Mailing address
342 HARRIS HILL RD, STE 5, WILLIAMSVILLE, NY 14221-7472
(716) 204-0777
(716) 204-0774
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026585601
UNIVERA
NY
01
—
000560843001
BLUE CROSS BLUE SHIELD
NY
05
—
02499521
—
NY
01
—
9512183
INDEPENDENT HEALTH
NY
Enumeration date
05/24/2005
Last updated
06/01/2009
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