Individual provider · Type 1 NPI

Carla Marie Wanukovich

Specialist · East Patchogue, NY

NPI number 1972866408 Active

Practice location

29 Puritan Ave
East Patchogue, NY 11772-5516

Call (631) 626-0964 Map

Fax (631) 569-4761

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1552615 (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.

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About NPI 1972866408

Carla Marie Wanukovich's National Provider Identifier is 1972866408, issued on Jun 19, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Patchogue, NY. The record was last updated on Jun 19, 2012.