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

MS. Carla Marie Wanukovich

Individual provider Specialist · NPI 1972866408

MS. Carla Marie Wanukovich is a Specialist in East Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

29 Puritan Ave
East Patchogue, NY 11772-5516
Phone: (631) 626-0964
Fax: (631) 569-4761
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1552615 (NY)

Record details

NPI number1972866408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESJune 19, 2012

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