National Provider Identifier

Michael Anthony Caruso, PA

Michael Anthony Caruso, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Painted Post, NY and a listed phone number of (607) 937-4900.

NPI 1659646065Painted Post, NYPhysician Assistant

Profile Overview

NPI
1659646065
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 19, 2012
Last Updated
March 18, 2021

Practice Location

  • 9768 Liberty Dr
  • Painted Post, NY 14870-9094

Phone: (607) 937-4900

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Physician Assistant (363A00000X)

Endpoints

  • mcaruso90459@direct-guthrie.org

    Direct Messaging Address | Direct | Painted Post, NY 14870

Full Record
NPI
1659646065
Entity Type
Individual
Last Name
Caruso
First Name
Michael
Middle Name
Anthony
Name Prefix
Mr.
Credential
PA
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
9768 Liberty Dr
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9094
Practice Country
US
Practice Phone
(607) 937-4900
Practice Fax
(607) 937-4940
Enumeration Date
March 19, 2012
Last Updated
March 18, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 18, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)