Provider Demographics
NPI:1891584587
Name:CARULLO, ROSALIA (MS)
Entity type:Individual
Prefix:MRS
First Name:ROSALIA
Middle Name:
Last Name:CARULLO
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 OAKDALE CT
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4537
Mailing Address - Country:US
Mailing Address - Phone:917-337-6368
Mailing Address - Fax:
Practice Address - Street 1:2980 OAKDALE CT
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4537
Practice Address - Country:US
Practice Address - Phone:917-337-6368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist