NPI 1053491936

Mario Carrillo, DO

Practitioner Vascular Surgery Physician Utica, NY

Practice location

Address: 1676 Sunset Ave 4th Floor, Utica, NY 13502
Phone: (315) 624-4690
Fax: (315) 624-4840
Mailing address: 2209 Genesee Street Business Office, Utica, NY 13501-5930

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 213540 (NY)

Other Surgery providers in New York →

Registry record

NPI: 1053491936
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 23 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.