Individual
ELAY CARACUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 477-1755
(631) 477-1280
Mailing address
1900 HEMPSTEAD TURNPIKE, SUITE 500, EAST MEADOW, NY 11554
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
099912
NY
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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