Donatelli, Anthony Nicholas

Donatelli, Anthony Nicholas is an sole proprietor health care provider with primary practice located at 440 Waverly Ave , Patchogue NY 11772-7600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Donatelli, Anthony Nicholas can be contacted via phone (631) 603-3770.

Contact Information

Primary practice address
440 Waverly Ave Patchogue NY 11772-7600
Phone: (631) 603-3770
Fax: (631) 251-7020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 167827 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME122358 Florida

Profile Details

NPI number 1730176793
LBN Legal business name Donatelli, Anthony Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated May 3rd, 2022 - about 2 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 1730176793 NPPES
New York MEDICAID 01039087

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