Carullo, Renata

Carullo, Renata is an sole proprietor health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carullo, Renata can be contacted via phone (718) 670-2059.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007194 New York

Profile Details

NPI number 1639201973
LBN Legal business name Carullo, Renata
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Dec 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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