MEDICARE: DR. MICHAEL PAUL CARIOSCIA D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N-004712	NY
2	213ES0131X	Foot Surgery Podiatrist	N-004712	NY

General Provider Information

NPI Number	:	1306844717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PAUL CARIOSCIA D.P.M.

Provider Business Mailing Address
First Line	:	2050 SAW MILL RIVER RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4108
Country	:	US
Telephone Number	:	914-245-7888
Fax Number	:	914-245-7909

Provider Business Practice Location Address
First Line	:	2050 SAW MILL RIVER RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4108
Country	:	US
Telephone Number	:	914-245-7888
Fax Number	:	914-245-7909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	12/19/2007

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