Individual
KAREN C CERINETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4400 VESTAL PARKWAY, BINGHAMTON, NY 13902
(607) 777-3042
Mailing address
4400 VESTAL PARKWAY, BINGHAMTON, NY 13902-1625
(607) 777-2221
(570) 777-5280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
S002121B
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
330786-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500018992
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
MEDICARE GROUP
PA
Enumeration date
01/24/2006
Last updated
08/20/2018
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