Procaccino, Angelo John
Procaccino, Angelo John is an individual health care provider with primary practice located at 310 East Shore Road Suite 203, Great Neck NY 11023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Procaccino, Angelo John can be contacted via phone (516) 482-8657.Contact Information
Primary practice address
310 East Shore Road Suite 203
Great Neck NY 11023
Phone: (516) 482-8657
Fax: (516) 829-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 158773 | New York |
Profile Details
| NPI number | 1861587461 |
|---|---|
| LBN Legal business name | Procaccino, Angelo John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 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.
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