Provider Demographics
NPI:1902117740
Name:MARFIONE, CARRIE J (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:J
Last Name:MARFIONE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GREECE CENTER DR STE 4
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-1358
Mailing Address - Country:US
Mailing Address - Phone:585-602-0100
Mailing Address - Fax:585-453-9240
Practice Address - Street 1:60 GREECE CENTER DR STE 4
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-1358
Practice Address - Country:US
Practice Address - Phone:585-602-0100
Practice Address - Fax:585-453-9240
Is Sole Proprietor?:No
Enumeration Date:2010-06-26
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY575961163W00000X
NY336295363LF0000X
NY33 336295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03281743Medicaid