Individual
DR. ANDREA CAROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 968-3525
Mailing address
1 GUSTAVE LEVY PL, NEW YORK, NY 10029
(917) 456-1828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
298768
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
298768-01
NY
Other
Enumeration date
06/03/2014
Last updated
07/12/2023
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