Reppucci, Angelo D
Reppucci, Angelo D is an individual health care provider with primary practice located at 600 Northern Blvd Suite 100, Great Neck NY 11021-5200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Reppucci, Angelo D can be contacted via phone (516) 482-3223.Contact Information
Primary practice address
600 Northern Blvd Suite 100
Great Neck NY 11021-5200
Phone: (516) 482-3223
Fax: (516) 482-2533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 175078 | New York |
Profile Details
| NPI number | 1982697223 |
|---|---|
| LBN Legal business name | Reppucci, Angelo D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982697223 | NPPES |
| New York | MEDICAID | 01590629 |
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