Individual
ALYSSA NICOLE CARACOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
505 GRAND BLVD STE 1, DEER PARK, NY 11729-5300
(631) 243-1313
Mailing address
70 CENTERPORT RD, GREENLAWN, NY 11740-1020
(631) 896-0031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
03/12/2024
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