MEDICARE: CAROLE RHEA ZARCONE A.N.P.

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	363LA2200X	Adult Health Nurse Practitioner	304744	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326234436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLE RHEA ZARCONE A.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 95000-6600
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19195-6600
Country	:	US
Telephone Number	:	631-465-6297
Fax Number	:	631-465-6524

Provider Business Practice Location Address
First Line	:	1405 OLD NORTHERN BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-2252
Country	:	US
Telephone Number	:	516-484-6777
Fax Number	:	516-484-0037

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

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	09/30/2014

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