Individual provider · Type 1 NPI
Carl Mark Cacciotti, AGNP-BC
Gerontology Nurse Practitioner · Troy, NY
NPI number
1063013415
Active
Practice location
81 Sweetmilk Creek Rd
Troy, NY 12180-9100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F309865 (NY) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1063013415
Carl Mark Cacciotti, AGNP-BC's National Provider Identifier is 1063013415, issued on Nov 3, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Troy, NY. The record was last updated on Nov 3, 2020.