Nina Marie Carusillo, PA-C
Physician Assistant, Surgical in New Haven, CT. Individual provider (NPI-1).
NPI number1548424971
StatusActive
Last updated in NPPESApr 20, 2016
Details
- NPI
- 1548424971
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nina Marie Carusillo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2008
- Last updated
- Apr 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 001028 | CT | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-7992 · Fax 203-688-7736
Mailing address
300 George StFl 6
New Haven, CT 06511-6624
Phone 203-785-6610 · Fax 203-785-6414
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