Iannuccillo, Anthony

Iannuccillo, Anthony is an sole proprietor health care provider with primary practice located at 5 Wood Dale Dr. , Ballston Lake NY 12019. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Iannuccillo, Anthony can be contacted via phone (518) 877-7373.

Contact Information

Primary practice address
5 Wood Dale Dr. Ballston Lake NY 12019
Phone: (518) 877-7373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T003085 New York

Profile Details

NPI number 1548564941
LBN Legal business name Iannuccillo, Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2010
Last updated Dec 29th, 2010 - about 15 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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