Consigliere, Gino A
Consigliere, Gino A is an individual health care provider with primary practice located at 7 Medical Dr Ste A , Port Jefferson Station NY 11776-1593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Consigliere, Gino A can be contacted via phone (631) 928-5252.Contact Information
Primary practice address
7 Medical Dr Ste A
Port Jefferson Station NY 11776-1593
Phone: (631) 928-5252
Fax: (631) 928-5259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 109169 | New York |
Profile Details
| NPI number | 1851457477 |
|---|---|
| LBN Legal business name | Consigliere, Gino A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851457477 | NPPES |
| Other | CCLI1312 | VYTRA | |
| Other | GC0625781 | VYTRA | |
| Other | 692668 | VYTRA | |
| Other | 182279 | VYTRA | |
| Other | AJ45668 | VYTRA | |
| Other | P44353103 | VYTRA |
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