Ciancimino, Anthony R.
Ciancimino, Anthony R. is an individual health care provider with primary practice located at 8202 Penelope Ave , Middle Village NY 11379-2337. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ciancimino, Anthony R. can be contacted via phone (718) 326-0003.Contact Information
Primary practice address
8202 Penelope Ave
Middle Village NY 11379-2337
Phone: (718) 326-0003
Fax: (718) 326-5269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 31433 | New York |
Profile Details
| NPI number | 1477580934 |
|---|---|
| LBN Legal business name | Ciancimino, Anthony R. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477580934 | NPPES |
| New York | MEDICAID | 00976807 |
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