Ciancimino, Anthony R.

Ciancimino, Anthony R. is an individual health care provider with primary practice located at 8202 Penelope Ave , Middle Village NY 11379-2337. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ciancimino, Anthony R. can be contacted via phone (718) 326-0003.

Contact Information

Primary practice address
8202 Penelope Ave Middle Village NY 11379-2337
Phone: (718) 326-0003
Fax: (718) 326-5269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 31433 New York

Profile Details

NPI number 1477580934
LBN Legal business name Ciancimino, Anthony R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477580934 NPPES
New York MEDICAID 00976807

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