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Dr. Mario Carrillo, DO
Vascular Surgery Physician in Utica, New York
NPI 1053491936

Mario Carrillo is a Vascular Surgery Physician based in Utica, NY and is specialized in Vascular Surgery. Mario Carrillo practices in Utica, NY and has the professional credentials of DO. The NPI Number for Mario Carrillo is 1053491936 and holds a License No. 213540 (New York).

The current practice location address for Mario Carrillo is 1676 Sunset Ave, Utica, NY and can be reached out via phone at 315-624-4690 and via fax at 315-624-4840.

Location: 1676 Sunset Ave, Utica, NY, 13501-5930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053491936
Provider Name
Mario Carrillo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1676 Sunset Ave, Utica, NY, 13501-5930
Phone Number
315-624-4690
Fax Number
315-624-4840
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01976636 05 NY
institution
Provider Business Practice Location Address Details
Address
1676 Sunset Ave
City
Utica
State
New York
Zip
13502
Phone Number
315-624-4690
Fax Number
315-624-4840
person
Provider Business Mailing Address Details
Address
1676 Sunset Ave
City
Utica
State
New York
Zip
13502
Phone Number
315-624-4690
Fax Number
315-624-4840
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
213540 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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