Provider Demographics
NPI:1437415916
Name:LOCASCIO, CAROLYN (CSA)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:LOCASCIO
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 KEYSTONE CT
Mailing Address - Street 2:UNIT 5
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-5509
Mailing Address - Country:US
Mailing Address - Phone:973-886-9925
Mailing Address - Fax:
Practice Address - Street 1:2 KEYSTONE CT
Practice Address - Street 2:UNIT 5
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-5509
Practice Address - Country:US
Practice Address - Phone:973-886-9925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NPO2298700246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist