Procaccino, John A

Procaccino, John A is an sole proprietor health care provider with primary practice located at 900 Northern Blvd , Great Neck NY 11021-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Procaccino, John A can be contacted via phone (516) 730-2100.

Contact Information

Primary practice address
900 Northern Blvd Great Neck NY 11021-5302
Phone: (516) 730-2100
Fax: (516) 730-2121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 171315 New York

Profile Details

NPI number 1114997939
LBN Legal business name Procaccino, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Sep 23rd, 2013 - 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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