1053491936

Everything you always wanted to know about DR. CARRILLO MARIO D.O. but were afraid to ask.

DR. CARRILLO MARIO D.O.

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Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. CARRILLO MARIO D.O.
Gender:
Male
Enumeration date:
2006-10-16
Last update date:
2016-03-23
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
G97620 Medicare UPIN none NY
J400250598 Medicare PIN none NY
01976636 Medicaid none NY

Taxonomies

Taxonomy State License Number Primary?
2086S0127X Trauma Surgery NY 213540

Phone Numbers

Type Number
Mailing Address Telephone Number 3158013282
Mailing Address Fax Number 3158018391
Practice Location Address Telephone Number 3156244690
Practice Location Address Fax Number 3156244840

Addresses

Type Address City State Postal Country
Mailing Address 2209 GENESEE STREET 4TH FLOOR UTICA NY 13501 NY
Practice Location Address 1676 SUNSET AVE BUSINESS OFFICE UTICA NY 13502 NY

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NPI Name Address State City
1104924570 RYAN, WILLIAM
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37 MAIN ST. NY WHITESBORO
1255769451 PETERS, ALLISON
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2209 GENESEE ST NY UTICA
1295799781 PEDERSEN, MARSHALL
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1656 CHAMPLIN AVE NY UTICA
1346290749 KERNEY, ANGEL
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1656 CHAMPLIN AVE NY UTICA
1346354891 DIAZ, SUSAN
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1656 CHAMPLIN AVE NY UTICA
1427492073 CRUZ, YOEL
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7364 SW 152ND AVE FL MIAMI
1497063978 LUKACZ, AMY
Individual
502 COURT ST NY UTICA
1679563795 YOSS, ERIC
Individual
1656 CHAMPLIN AVE NY UTICA
1740588821 MCDONALD, KATHLEEN
Individual
2209 GENESEE ST NY UTICA
1851346225 MAGAI, COLLEEN
Individual
1104 LOGTOWN RD NY FULTONVILLE
1871662932 HARDEN, KEITH
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1676 SUNSET AVE NY UTICA
1114477783 WOODRICK, KARLY
Individual
358 MADISON ST NY WATERVILLE
1154765782 SULLIVAN, MAUREEN
Individual
120 HOBART ST NY UTICA
1407813249 BORGOS, LAURA
Individual
1676 SUNSET AVE NY UTICA

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NPI Name Address State City
1033280458 AIELLO, MICHAEL
Individual
2209 GENESEE STREET NY UTICA
1063505527 SEYSE, MARY
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2209 GENESEE STREET NY UTICA
1093030587 GUISINGER, LAUREN
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2209 GENESEE STREET NY UTICA
1154304434 NIBLETT, RANDY
Individual
2209 GENESEE STREET NY UTICA
1205922788 MATTESON, LISA
Individual
2209 GENESEE STREET NY UTICA
1215024062 MOORE, ANN
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2209 GENESEE STREET NY UTICA
1275628554 BRODZIK, BARBARA
Individual
2209 GENESEE STREET NY UTICA
1316033954 GIUFFRIDA, CHRISTIN
Individual
2209 GENESEE STREET NY UTICA
1346354891 DIAZ, SUSAN
Individual
1656 CHAMPLIN AVE NY UTICA
1346459617 PAIDY, SRINIVAS
Individual
2209 GENESEE STREET NY UTICA
1366432064 LEVINE, STEVEN
Individual
2215 GENESEE ST NY UTICA
1376867531 KLUTTS, MARGARET
Individual
2209 GENESEE STREET NY UTICA
1386739662 ELACQUA, LOIS
Individual
2209 GENESEE STREET NY UTICA
1386770527 BURKE, BRIAN
Individual
2209 GENESEE STREET NY UTICA
1821185687 DESIMONE, JANE
Individual
2209 GENESEE STREET NY UTICA
1841386596 POTTER, JESSIE
Individual
2209 GENESEE STREET NY UTICA
1861587701 ALBERICO, ALISON
Individual
2209 GENESEE STREET NY UTICA
1912092669 SIMPSON, JAN
Individual
2209 GENESEE STREET NY UTICA
1952496168 CUCCI, GINA
Individual
2209 GENESEE STREET NY UTICA
1013904317 CATANZARITA, FRANCIS
Individual
1676 SUNSET AVE NY UTICA
1023047552 WASSEL, EMILE
Individual
1676 SUNSET AVE NY UTICA
1043207210 KNAPP, PATRICK
Individual
1676 SUNSET AVE NY UTICA
1053308221 BUCZKOWSKI, WILLIAM
Individual
1676 SUNSET AVE NY UTICA
1063400653 NOFRI, MICHAEL
Individual
1676 SUNSET AVE NY UTICA
1063592665 MAX, CHRISTOPHER
Individual
1676 SUNSET AVE NY UTICA
1093172397 SANTA MARIA, MARIA
Individual
1676 SUNSET AVE NY UTICA
1104090885 NORRIS, LORRAINE
Individual
1676 SUNSET AVE NY UTICA
1124016647 TROCIUK, MICHAEL
Individual
1676 SUNSET AVE NY UTICA
1124473020 ROBINSON, MEGHAN
Individual
1676 SUNSET AVE NY UTICA
1134110281 SAQIB, NAJMUS
Individual
1676 SUNSET AVE NY UTICA
1134116304 KAIN, TIMOTHY
Individual
1676 SUNSET AVE NY UTICA
1144221367 KHALIQI, TAMIM
Individual
1676 SUNSET AVE NY UTICA
1154569036 FURLONG, DANIELLE
Individual
1676 SUNSET AVE NY UTICA
1164722013 BALLIE, AVINASH
Individual
1676 SUNSET AVE NY UTICA
1184647141 BOURLAND, JANICE
Individual
1676 SUNSET AVE NY UTICA
1194080291 PULMONARY CRITICAL CARE AND SL
Organization
1676 SUNSET AVE NY UTICA
1194167601 DIXON, SARAH
Individual
1676 SUNSET AVE NY UTICA
1194178897 HUN, SANDY
Individual
1676 SUNSET AVE NY UTICA
1194962068 ELGHARIB, NADER
Individual
1676 SUNSET AVE NY UTICA
1205922523 LAREAU, CAROL
Individual
1676 SUNSET AVE NY UTICA
1225442874 CONOVER, LAURIE
Individual
1676 SUNSET AVE NY UTICA
1275771313 REED, ERIN
Individual
1676 SUNSET AVE NY UTICA
1366696452 HOAGE, CHRISTINE
Individual
1676 SUNSET AVE NY UTICA
1366809667 OLMSTEAD, JARROD
Individual
1676 SUNSET AVE NY UTICA
1376657569 SOOD, BRIJ
Individual
1676 SUNSET AVE NY UTICA
1386631687 MCLAUGHLIN GRAY, CAROL
Individual
1676 SUNSET AVE NY UTICA
1396095725 FORSTI, MARK
Individual
1676 SUNSET AVE NY UTICA
1407813249 BORGOS, LAURA
Individual
1676 SUNSET AVE NY UTICA
1407854680 NASSIF, RAMZI
Individual
1676 SUNSET AVE NY UTICA
1427060839 BRIAN BOYLE, MD PC
Organization
1676 SUNSET AVE NY UTICA
1427164482 JIMMERSON, CATHY
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1676 SUNSET AVE NY UTICA
1437516705 BYWATER, KIM
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1676 SUNSET AVE NY UTICA
1447406921 JACOBUS, CAROLINE
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1676 SUNSET AVE NY UTICA
1457431066 DELLERBA, PETER
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1676 SUNSET AVE NY UTICA
1467723296 ENGLISH, RENEE
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1676 SUNSET AVE NY UTICA
1467819763 MILHAM-WILKOSZ, MELISSA
Individual
1676 SUNSET AVE NY UTICA
1487728408 TELPNER, ROMAN
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1676 SUNSET AVE NY UTICA
1528425899 WALLIS, AMANDA
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1676 SUNSET AVE NY UTICA
1548340102 JOSEPH, JOANNE
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1676 SUNSET AVE NY UTICA
1568476299 SUGARMAN, JEFFREY
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1676 SUNSET AVE NY UTICA
1598921157 MOHAWK VALLEY CARDIOLOGY PC
Organization
1676 SUNSET AVE NY UTICA
1609960905 LAWRENCE, ANTHONY
Individual
1676 SUNSET AVE NY UTICA
1629002100 MARTIN, BARBARA
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1676 SUNSET AVE NY UTICA
1639140734 CHOUTHRY, MOHAMMAD
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1676 SUNSET AVE NY UTICA
1639221518 AKHTAR, NASREEN
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1676 SUNSET AVE NY UTICA
1659368959 CUDA, MICHAEL
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1676 SUNSET AVE NY UTICA
1669692638 KASHTANOVA, YEKATERINA
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1676 SUNSET AVE NY UTICA
1689661068 SUNSET ANESTHESIA ASSOCIATES L
Organization
1676 SUNSET AVE NY UTICA
1699211326 SCHWAB, LINDSAY
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1676 SUNSET AVE NY UTICA
1699796623 KIDNEY AND HYPERTENSION CONSUL
Organization
1676 SUNSET AVE NY UTICA
1700024601 WEBSTER, TAMARA
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1700243003 PERKINS, MICHELLE
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1676 SUNSET AVE NY UTICA
1700243078 LIBERTY, MARGARET
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1676 SUNSET AVE NY UTICA
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1676 SUNSET AVE NY UTICA
1811127046 KENWORTHY, DIANE
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1676 SUNSET AVE NY UTICA
1821143702 WIMPFHEIMER, ZEV
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1676 SUNSET AVE NY UTICA
1831186220 BRINDISI, JOSEPH
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1676 SUNSET AVE NY UTICA
1841496544 KUMAR, BRIJ
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1676 SUNSET AVE NY UTICA
1851540306 KEEVER, LINDA
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1676 SUNSET AVE NY UTICA
1861647851 TOWNSEND, CHERYL
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1676 SUNSET AVE NY UTICA
1871662932 HARDEN, KEITH
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1676 SUNSET AVE NY UTICA
1871818732 SKUTNIK, JESSICA
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1676 SUNSET AVE NY UTICA
1881681096 BOYLE, BRIAN
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1676 SUNSET AVE NY UTICA
1881826956 FERENCHAK, RALPH
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1676 SUNSET AVE NY UTICA
1912427915 WINTLE, BRITTIE
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1676 SUNSET AVE NY UTICA
1962843896 MANTELLI, PAUL
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1676 SUNSET AVE NY UTICA
1972591568 PUTRELO, ROSANGELA
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1676 SUNSET AVE NY UTICA
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1676 SUNSET AVE NY UTICA
1992937080 ELDRED, JESSICA
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