Carnevale, Gregory G

Carnevale, Gregory G is an sole proprietor health care provider with primary practice located at 64 Elizabeth Blackwell St Ste A , Geneva NY 14456-3443. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Carnevale, Gregory G can be contacted via phone (315) 789-2153.

Contact Information

Primary practice address
64 Elizabeth Blackwell St Ste A Geneva NY 14456-3443
Fax:
Website:

Profile Details

NPI number 1689615924
LBN Legal business name Carnevale, Gregory G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Aug 19th, 2021 - about 3 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 1689615924 NPPES
New York MEDICAID 02160965

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