Provider Demographics
NPI:1992941272
Name:NARINE, MARIA SPARACINO (CPNP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:SPARACINO
Last Name:NARINE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:SPARACINO NARINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPNP
Mailing Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:NICHOLS ROAD
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-7720
Mailing Address - Fax:631-638-0914
Practice Address - Street 1:STONY BROOK UNIVERSITY MEDICAL CTR
Practice Address - Street 2:NICHOLS ROAD
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-7720
Practice Address - Fax:631-638-0914
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381535-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics