Basic Information
Provider Information
NPI: 1003295163
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARUANA
FirstName: ALISON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 NICHOLLS RD HCS 12 TOWER
Address2:  
City: STONY BROOK
State: NY
PostalCode: 117941955
CountryCode: US
TelephoneNumber: 9739755030
FaxNumber:  
Practice Location
Address1: 181 BELLEMEADE RD
Address2:  
City: EAST SETAUKET
State: NY
PostalCode: 117333495
CountryCode: US
TelephoneNumber: 6314442599
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2015
LastUpdateDate: 07/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084V0102X304832NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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