Pucillo, Anthony L

Pucillo, Anthony L is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 700, Hawthorne NY 10532-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pucillo, Anthony L can be contacted via phone (914) 593-7800.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 700 Hawthorne NY 10532-2140
Phone: (914) 593-7800
Fax: (914) 593-7857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 139259 New York

Profile Details

NPI number 1619970530
LBN Legal business name Pucillo, Anthony L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 5th, 2015 - about 9 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 1619970530 NPPES
New York MEDICAID 00791997
New York Other 060023510

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