Individual provider · Type 1 NPI

Jacqueline Clarizio

Surgical Physician Assistant · Trumbull, CT

NPI number 1174166722 Active

Practice location

5520 Park Ave Ste 300
Trumbull, CT 06611-3465

Call (203) 374-0310 Map

Other practice locations

  • 646 Park Ave, New York, NY 10065-6105 · (800) 633-8446
  • 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577-2042 · (800) 633-8446

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X024317 (NY)
Surgical Physician Assistant Primary 363AS0400X4820 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1174166722

Jacqueline Clarizio's National Provider Identifier is 1174166722, issued on Oct 25, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Trumbull, CT. The record was last updated on Jul 27, 2020.