Iannuccillo, Anthony Robert
Iannuccillo, Anthony Robert is an individual health care provider with primary practice located at 315 S Manning Blvd , Albany NY 12208-1707. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Iannuccillo, Anthony Robert can be contacted via phone (518) 525-1550.Contact Information
Primary practice address
315 S Manning Blvd
Albany NY 12208-1707
Phone: (518) 525-1550
Fax: (518) 525-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 245562 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 245562 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 245562 | New York |
Profile Details
| NPI number | 1235322785 |
|---|---|
| LBN Legal business name | Iannuccillo, Anthony Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2007 |
| Last updated | Nov 4th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235322785 | NPPES |
| New York | MEDICAID | 02941977 |
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