Picon, Antonio

Picon, Antonio is an sole proprietor health care provider with primary practice located at 256 Mason Ave , Staten Island NY 10305-3408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Picon, Antonio can be contacted via phone (718) 226-6398.

Contact Information

Primary practice address
256 Mason Ave Staten Island NY 10305-3408
Phone: (718) 226-6398
Fax: (718) 226-1247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 002594-1 New York

Profile Details

NPI number 1154353100
LBN Legal business name Picon, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Nov 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154353100 NPPES
New York MEDICAID 02799622

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