Provider Demographics
NPI:1003857335
Name:LOSCALZO, CARINA (PA)
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:
Last Name:LOSCALZO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 681- VAN BRUNT STATION
Mailing Address - Street 2:PARK SLOPE EMERGENCY PHYSICIAN SERVICES PC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:800-666-2455
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:506 SIXTH STREET
Practice Address - Street 2:THE METHODIST HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-780-3159
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY006471363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01988370Medicaid
S87686Medicare UPIN