Andolina, Peter Anthony

Andolina, Peter Anthony is an individual health care provider with primary practice located at 895 W Jericho Tpke , Smithtown NY 11787-3229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Andolina, Peter Anthony can be contacted via phone (631) 982-2022.

Contact Information

Primary practice address
895 W Jericho Tpke Smithtown NY 11787-3229
Phone: (631) 982-2022
Fax: (631) 982-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0300434 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 269587 New York

Profile Details

NPI number 1073893822
LBN Legal business name Andolina, Peter Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Jun 12th, 2023 - 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 1073893822 NPPES
New York MEDICAID 04108898
New York MEDICAID 7100508950

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