Brancaccio, William
Brancaccio, William is an individual health care provider with primary practice located at 1333 Roanoke Ave , Riverhead NY 11901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brancaccio, William can be contacted via phone (631) 727-2755.Contact Information
Primary practice address
1333 Roanoke Ave
Riverhead NY 11901
Phone: (631) 727-2755
Fax: (631) 208-9521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 132146 | New York |
Profile Details
| NPI number | 1356451157 |
|---|---|
| LBN Legal business name | Brancaccio, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 27th, 2007 - about 17 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 | 1356451157 | NPPES |
| New York | MEDICAID | 00670397 | |
| New York | Other | W11401 | |
| New York | Other | CF3402 |
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