Mustaciuolo, Vincent W

Mustaciuolo, Vincent W is an sole proprietor health care provider with primary practice located at 501 Seaview Ave Suite 100, Staten Island NY 10305-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mustaciuolo, Vincent W can be contacted via phone (718) 667-0077.

Contact Information

Primary practice address
501 Seaview Ave Suite 100 Staten Island NY 10305-3436
Phone: (718) 667-0077
Fax: (718) 667-4103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 198311 New York

Profile Details

NPI number 1558369298
LBN Legal business name Mustaciuolo, Vincent W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Jun 19th, 2012 - about 13 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 1558369298 NPPES
New York MEDICAID 02148929

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