Iacovelli, Anthony Michael

Iacovelli, Anthony Michael is an sole proprietor health care provider with primary practice located at 380 Route 202 , Somers NY 10589-3222. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Iacovelli, Anthony Michael can be contacted via phone (516) 279-3403.

Contact Information

Primary practice address
380 Route 202 Somers NY 10589-3222
Phone: (516) 279-3403
Fax: (516) 441-4270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 020258 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 020258 New York

Profile Details

NPI number 1346532249
LBN Legal business name Iacovelli, Anthony Michael
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2011
Last updated Nov 26th, 2014 - about 11 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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