Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIO CARRILLO, D.O.
ActiveDR. MARIO CARRILLO, D.O. is a Vascular Surgery healthcare provider located in UTICA, New York. NPI 1053491936 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · UTICA, NY
Registration Details
- NPI Number
- 1053491936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.837571510085 yrs)
- Last Updated
- Mar 23, 2016
- License
-
213540 (NY)
Practice Information
- Address
-
1676 SUNSET AVE4TH FLOORUTICA, NY, 13502Browse NY providers · Browse ZIP 13502
- Phone
- 3156244690
- Fax
- 3156244840
- Primary Specialty
-
Vascular Surgery
2086S0129X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.