Antonelle, Michael
Antonelle, Michael is an sole proprietor health care provider with primary practice located at 2 Wildflower Ln , East Hampton NY 11937-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Antonelle, Michael can be contacted via phone (631) 329-8414.Contact Information
Primary practice address
2 Wildflower Ln
East Hampton NY 11937-4311
Phone: (631) 329-8414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 090464 | New York |
Profile Details
| NPI number | 1346759776 |
|---|---|
| LBN Legal business name | Antonelle, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2017 |
| Last updated | Sep 28th, 2017 - about 8 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 | 1346759776 | NPPES |
| New York | Other | 090464 | NY STATE |
| New York | Other | NONE | NY STATE |
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