Chiarello, Michael Anthony

Chiarello, Michael Anthony is an individual health care provider with primary practice located at 3771 Nesconset Hwy Ste 212 , South Setauket NY 11720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Chiarello, Michael Anthony can be contacted via phone (631) 689-5390.

Contact Information

Primary practice address
3771 Nesconset Hwy Ste 212 South Setauket NY 11720
Phone: (631) 689-5390
Fax: (631) 883-6652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400066-1 New York

Profile Details

NPI number 1235204678
LBN Legal business name Chiarello, Michael Anthony
Credentials PHD, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Dec 19th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235204678 NPPES
New York MEDICAID 02168454

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