Dominick J Carillo in Glens Falls - Emergency Medical Services
Dominick J Carillo - NPI 1336214469
Dominick J Carillo is a Emergency Medical Services in Glens Falls, New York. Dominick J Carillo practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Dominick J Carillo is 1336214469. The last update date is 2017-05-05.
Dominick J Carillo's current location address is 100 Park St, Glens Falls, New York. You can contact this provider via phone number 5189265100 and fax number 5189266983. The mailing address for Dominick J Carillo is 100 Park St, Glens Falls, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominick J Carillo |
|---|---|
| Address | 100 Park St, Glens Falls, New York |
| Phone Number | 5189265100 |
| Fax Number | 5189266983 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336214469 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2017-05-05 |
Provider Mailing Address Detail
| Address | 100 Park St |
|---|---|
| City | Glens Falls |
| State | New York (NY) |
| Post Code | 128014413 |
| Phone Number | 5189265100 |
| Fax Number | 5189266983 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 189110 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70021A | MEDICARE PART B |
Post Comment/ Review Below
What is the Dominick J Carillo's 1336214469?
The Dominick J Carillo's NPI (National Provider Identifier) Number is 1336214469. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dominick J Carillo located?
The Dominick J Carillo is located at 100 Park St, Glens Falls, NY 128014413.
What is Dominick J Carillo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dominick J Carillo is Emergency Medical Services, and the taxonomy code that classifies this field of practice is 207Pe0004X.
On what date was the 1336214469 assigned to Dominick J Carillo?
The Dominick J Carillo was issued its 1336214469 on 2006-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Dominick J Carillo most recently updated or refreshed?
The details pertaining to the Dominick J Carillo, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-05.