Gargiulo, Juan J

Gargiulo, Juan J is an sole proprietor health care provider with primary practice located at 365 County Road 39A Suite 15 & 16, Southampton NY 11968-5284. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gargiulo, Juan J can be contacted via phone (631) 702-2300.

Contact Information

Primary practice address
365 County Road 39A Suite 15 & 16 Southampton NY 11968-5284
Phone: (631) 702-2300
Fax: (631) 702-2303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 181791 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 181791 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 181791 New York

Profile Details

NPI number 1780639419
LBN Legal business name Gargiulo, Juan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jun 14th, 2012 - about 12 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 1780639419 NPPES
New York MEDICAID 01355302

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