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:
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Health care specialties

SpecialtyCodeLicense #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 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 1851457477 NPPES
Other CCLI1312 VYTRA
Other GC0625781 VYTRA
Other 692668 VYTRA
Other 182279 VYTRA
Other AJ45668 VYTRA
Other P44353103 VYTRA

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