Coniglio, Gerald A

Coniglio, Gerald A is an individual health care provider with primary practice located at 115 Main St , Mount Morris NY 14510-1217. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coniglio, Gerald A can be contacted via phone (585) 658-3120.

Contact Information

Primary practice address
115 Main St Mount Morris NY 14510-1217
Fax: (585) 658-4393
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 117158 New York

Profile Details

NPI number 1902801186
LBN Legal business name Coniglio, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Mar 20th, 2017 - about 7 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 1902801186 NPPES
New York MEDICAID 00676297

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