Individual provider · Type 1 NPI
Megan Michelle Decarlo
Specialist · Dryden, NY
NPI number
1689115552
Active
Practice location
457 Lake Rd
Dryden, NY 13053-9745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1091741 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1689115552
Megan Michelle Decarlo's National Provider Identifier is 1689115552, issued on Mar 13, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dryden, NY. The record was last updated on Mar 13, 2017.