Boccardo, Daniel Antonio

Boccardo, Daniel Antonio is an individual health care provider with primary practice located at 8708 Justice Ave , Elmhurst NY 11373-4590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boccardo, Daniel Antonio can be contacted via phone (718) 424-0339.

Contact Information

Primary practice address
8708 Justice Ave Elmhurst NY 11373-4590
Fax: (718) 424-4868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 130526 New York

Profile Details

NPI number 1568422913
LBN Legal business name Boccardo, Daniel Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 20th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568422913 NPPES
New York MEDICAID 01103497

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