Caroline Marie Carballa, LMT is a
Massage Therapist based in Gasport, New York. Caroline Marie Carballa is licensed to practice in New York (license number 026968-1) and her current practice location is
4437 Main St, Gasport, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 772-2200.
NPI number for Caroline Marie Carballa is 1790120020 and her current mailing address is Po Box 281, Gasport, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790120020.
Healthcare Provider's Profile
| Full Name | Caroline Marie Carballa |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 4437 Main St, Gasport, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790120020
- Provider Enumeration Date: 04/30/2013
- Last Update Date: 04/30/2013
Medical Identifiers
Medical identifiers for Caroline Marie Carballa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790120020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 026968-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caroline Marie Carballa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Caroline Marie Carballa, LMT
Po Box 281,
Gasport, NY 14067-0281
Ph: (716) 772-2200 | Caroline Marie Carballa, LMT
4437 Main St,
Gasport, NY 14067-9201
Ph: (716) 772-2200 |
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