Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bernadette C. Decarlo, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1104750793

Bernadette C. Decarlo, AGPCNP-BC is a Primary Care Nurse Practitioner in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
Specialties on file
3

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 312852 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 312852 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 312852 (NY)

Record details

NPI number1104750793
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 21, 2026
Certification dateJune 21, 2026

Other providers in Stony Brook