National Provider Identifier
Jill Carollo
Jill Carollo is listed in the NPPES registry with a primary specialty of Specialist in Williamsville, NY and a listed phone number of (716) 885-8871.
Profile Overview
- NPI
- 1356741144
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- August 28, 2014
- Last Updated
- August 28, 2014
Practice Location
- 445 Evans St
- Williamsville, NY 14221-5606
Phone: (716) 885-8871
Mailing Address
- 28 Petersbrook Cir
- Lancaster, NY 14086-3244
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1356741144
- Entity Type
- Individual
- Last Name
- Carollo
- First Name
- Jill
- Mailing Street Address
- 28 Petersbrook Cir
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-3244
- Mailing Country
- US
- Practice Street Address
- 445 Evans St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5606
- Practice Country
- US
- Practice Phone
- (716) 885-8871
- Enumeration Date
- August 28, 2014
- Last Updated
- August 28, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)