Passarelli, John Gabriel

Passarelli, John Gabriel is an sole proprietor health care provider with primary practice located at 601 Suffolk Ave , Brentwood NY 11717-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Passarelli, John Gabriel can be contacted via phone (631) 231-4455.

Contact Information

Primary practice address
601 Suffolk Ave Brentwood NY 11717-4309
Fax: (631) 231-5421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 140081 New York

Profile Details

NPI number 1679682702
LBN Legal business name Passarelli, John Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Oct 14th, 2025 - about last year

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 1679682702 NPPES
New York MEDICAID 02492253

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