Dominick J Carillo (NPI# 1336214469, PAC ID# 8729066170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1336214469 |
| PAC ID by PECOS | 8729066170 |
| Professional Enrollment ID | I20080611000099 |
| Full Name | Dominick J Carillo |
| Organization Legal Name | EMERGENCY CARE SERVICES OF NEW YORK, P.C. |
| Address |
100 Park St Glens Falls NY 12801-4413 |
| Phone Number | 5189261000 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678678646 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330191 | GLENS FALLS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Park St, Glens Falls, NY 12801-4413 | 5189261000 | EMERGENCY CARE SERVICES OF NEW YORK, P.C. |
| Organization Legal Name | EMERGENCY CARE SERVICES OF NEW YORK, P.C. |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonaldo A Silaban | Emergency Medicine | Emergency Care Services of New York, P.C. | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Benjamin S Katz | Emergency Medicine | Emergency Care Services of New York, P.C. | 100 Park St, Glens Falls, NY 12801-4413 |
| Jason H Bell | Emergency Medicine | Emergency Care Services of New York, P.C. | 321 Genesee St, Oneida, NY 13421-2611 |
| Michael A Sanchez | Emergency Medicine | Emergency Care Services of New York, P.C. | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Rudolph Andrew Cartier | Emergency Medicine | Emergency Care Services of New York, P.C. | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Lori A Gauthier | Nurse Practitioner | Emergency Care Services of New York, P.C. | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Andrew P Bachman | Emergency Medicine | Emergency Care Services of New York, P.C. | 100 Park St, Glens Falls, NY 12801-4413 |
| Robert D Desiderio | Emergency Medicine | Emergency Care Services of New York, P.C. | 100 Park St, Glens Falls, NY 12801-4413 |
| Tom-meka M Archinard | Emergency Medicine | Emergency Care Services of New York, P.C. | 301 Prospect Ave, Syracuse, NY 13203-1807 |
| Gregory Louis Cartledge | Emergency Medicine | Emergency Care Services of New York, P.C. | 321 Genesee St, Oneida, NY 13421-2611 |
| Street Address |
100 PARK ST |
| City | GLENS FALLS |
| State | NY |
| Zip | 12801-4413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex H Frank | Radiation Oncology | Northeastern Radiation Oncology | 100 Park St, Glens Falls, NY 12801-4413 |
| Michael P Angelucci | Anesthesiology | Medical Anesthesia Specialists of Ny PC | 100 Park St, Glens Falls, NY 12801-4413 |
| Julie K Anderson | Physician Assistant | Glens Falls Hospital Inc | 100 Park St, Glens Falls, NY 12801-4413 |
| Mathew Varughese | Internal Medicine | Glens Falls Hospital Inc | 100 Park St, Glens Falls, NY 12801-4413 |
| Benjamin S Katz | Emergency Medicine | Emergency Care Services of New York, P.C. | 100 Park St, Glens Falls, NY 12801-4413 |
| Philip D Shultes | Anesthesiology | Medical Anesthesia Specialists of Ny PC | 100 Park St, Glens Falls, NY 12801-4413 |
| Patricia M Steffen | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Specialists of Ny PC | 100 Park St, Glens Falls, NY 12801-4413 |
| Melody K`` Long | Physician Assistant | Glens Falls Hospital Inc | 100 Park St, Glens Falls, NY 12801-4413 |
| Cindy Cerro Conlon | Anesthesiology | Medical Anesthesia Specialists of Ny PC | 100 Park St, Glens Falls, NY 12801-4413 |
| Ronda M Overdiek | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Specialists of Ny PC | 100 Park St, Glens Falls, NY 12801-4413 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara A Bedore | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Susan C Boggia | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Debra J Pietrangelo | Psychologist, Clinical | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Lynn M Edgerly | Clinical Social Worker | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Brenda J Arley | Certified Clinical Nurse Specialist (cns) | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Joseph Mckay | Clinical Social Worker | 498 Glen St, Glens Falls, NY 12801-2230 | |
| Peter M Hughes | Urology | 526 Glen St, Glens Falls, NY 12801-2232 | |
| Terry L Walton | Optometry | Terry L Walton Doctor of Optometry PC | 575 Glen St, Box 2071, Glens Falls, NY 12801-2243 |
| Brenda M Dobie | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Richard S Price | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Find all physicians in zip 12801 | |||
| City | GLENS FALLS |
| Zip Code | 12801 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GLENS FALLS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Dominick J Carillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.