Dr MARIO CARRILLO is a male medical professional, specializing in Vascular Surgery. He graduated in 1994 from New York College Of Osteo Medicine Of New York Institute Of Technology.
FAXTON - ST LUKES HEALTHCARE
1676 SUNSET AVE
UTICA
NY
135025416
Tel: 3156256000
| Npi | 1053491936 |
| Pac Id | 4587745674 |
| Professional Enrollment Id | I20101101000485 |
| Last Name | CARRILLO |
| First Name | MARIO |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1994 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | FAXTON - ST LUKES HEALTHCARE |
| Group Practice Pac Id | 2769380252 |
| Number Of Group Practice Members | 150 |
| Line 1 Street Address | 1676 SUNSET AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | UTICA |
| State | NY |
| Zip Code | 135025416 |
| Phone Number | 3156256000 |
| Hospital Affiliation Ccn 1 | 330044 |
| Hospital Affiliation Lbn 1 | FAXTON-ST LUKE'S HEALTHCARE |
| Hospital Affiliation Ccn 2 | 330245 |
| Hospital Affiliation Lbn 2 | ST ELIZABETH MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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