| Doctor Name: | TINA CAIAZZO |
| NPI Number: | 1932152303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C/ATC09/ |
| License Number: | 010066-1 |
| Business Practice Address: | Us Army/schofield Barracks Schofield, HI - 96787 |
| Business Phone Number: | 8084338626 |
| Business Fax Number: | |
| Mailing Address: | Po Box 837, BANGOR |
| State: | PA |
| Postal Code: | 180130837 |
| Phone Number: | 8459262421 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 06/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 010066-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |