Marybeth H Carlberg, MD – Family Medicine Physician

Key facts

NPI: 1720064470
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 151710 (NY)
Practice address: 783 Franklin St
Skaneateles, NY 13152-9313
Phone: (315) 685-8988
Fax: (315) 685-2253
NPI assigned: Dec 15, 2005
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Your Health Your Choice Dietetics and Nutrition PLLC Registered Dietitian · Camillus, NY · NPI 1407096506

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
151710	NY	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Your Health Your Choice Dietetics and Nutrition PLLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	151710	NY	Yes

Addresses

Primary practice location

783 Franklin St
Skaneateles, NY 13152-9313

Mailing address

1001 W Fayette St
Ste 400
Syracuse, NY 13204-2859
Phone (315) 472-1488

Other providers in Skaneateles, NY

All providers in Skaneateles, NY · Family Medicine Physician in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.