Individual
DR. VINCENT J. CARSILLO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
62 HACKETT BLVD, ALBANY, NY 12209
(518) 434-2244
(518) 434-4659
Mailing address
62 HACKETT BLVD, ALBANY, NY 12209-1718
(518) 434-2244
(518) 434-4659
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
232172-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551173
—
NY
Enumeration date
08/18/2005
Last updated
08/07/2018
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