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Individual
MR. MICHAEL ANTHONY CARUSO
Active
Individual
MR. MICHAEL ANTHONY CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019870
NY
Other
Enumeration date
03/19/2012
Last updated
03/18/2021
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