Dr. Mario Carrillo
Vascular Surgeon
1676 Sunset Ave 4th Floor
Utica
, New York 13502
Dr. Mario Carrillo
Vascular Surgeon
1676 Sunset Ave 4th Floor
Utica
, New York 13502
(315) 801-8391
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Mario Carrillo
- 2209 Genesee Street Business Office
- Utica, NY
- Zip : 13501-5930
- Fax : (315) 801-8391
- Phone : (315) 801-3282
Second Address
- Dr. Mario Carrillo
- 1676 Sunset Ave 4th Floor
- Utica, NY
- Zip : 13502
- Fax : (315) 624-4840
- Phone : (315) 624-4690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 213540 | NY |
National Provider Identifier
| NPI | 1053491936 |
|---|---|
| Provider Name | Dr. Mario Carrillo |
| First Address | Utica, NY 13501-5930 |
| Second Address | Utica, NY 13502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 23/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01976636 | (05) | NY |
| G97620 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.