Healthcare Provider Details

I. General information

NPI: 1649461237
Provider Name (Legal Business Name): JOHN B. CARAMAGNA, D.O., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 FLOYD PL SUITE 1A
EAST NORWICH NY
11732-1310
US

IV. Provider business mailing address

73 FLOYD PL SUITE 1A
EAST NORWICH NY
11732-1310
US

V. Phone/Fax

Practice location:
  • Phone: 516-922-2157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number212943
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number212943
License Number StateNY

VIII. Authorized Official

Name: DR. JOHN BATTISTA CARAMAGNA
Title or Position: SOLE MEMBER
Credential: D.O.
Phone: 516-922-2157