Giovanniello, Anthony Joseph

Giovanniello, Anthony Joseph is an individual health care provider with primary practice located at 55 Horizon Drive , Huntington NY 11743. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Giovanniello, Anthony Joseph can be contacted via phone (631) 920-8058.

Contact Information

Primary practice address
55 Horizon Drive Huntington NY 11743
Fax: (631) 920-8165
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 195696 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 195696 New York

Profile Details

NPI number 1093801789
LBN Legal business name Giovanniello, Anthony Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 6th, 2010 - about 16 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 1093801789 NPPES
New York MEDICAID 01561215

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