Consolazio, Anthony

Consolazio, Anthony is an individual health care provider with primary practice located at 4417 Vestal Parkway East Suite 101, Vestal NY 13850-3556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Consolazio, Anthony can be contacted via phone (607) 729-2144.

Contact Information

Primary practice address
4417 Vestal Parkway East Suite 101 Vestal NY 13850-3556
Phone: (607) 729-2144
Fax: (607) 729-2145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230312 New York

Profile Details

NPI number 1811984479
LBN Legal business name Consolazio, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 17th, 2016 - about 10 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 1811984479 NPPES
New York MEDICAID 02492933

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