Provider Demographics
NPI:1962241380
Name:AIUTO, CAROL PATRICIA
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:PATRICIA
Last Name:AIUTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 KIMBALL ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4506
Mailing Address - Country:US
Mailing Address - Phone:917-796-8602
Mailing Address - Fax:
Practice Address - Street 1:1868 KIMBALL ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4506
Practice Address - Country:US
Practice Address - Phone:917-796-8602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health