Individual provider · Type 1 NPI
Bernadette C. Decarlo, AGPCNP-BC
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1104750793
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 312852 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | 312852 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 312852 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1104750793
Bernadette C. Decarlo, AGPCNP-BC's National Provider Identifier is 1104750793, issued on Jun 10, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 21, 2026.