IndividualActive
Carl Cacciotti, AGNP-BC
NPI 1063013415 · Gerontology Nurse Practitioner · Troy, NY
Provider details
- NPI number
- 1063013415
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- F309865 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
81 Sweetmilk Creek Rd
Troy, NY 12180-9100
Phone: (518) 330-3396
Approximate (ZIP-level) locationGet directions
Mailing address
81 Sweetmilk Creek Rd
Troy, NY 12180-9100
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.