Squillante, Niel J

Squillante, Niel J is an sole proprietor health care provider with primary practice located at 12 Smith Farm Rd , Bedford NY 10506-2030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Squillante, Niel J can be contacted via phone (914) 419-3554.

Contact Information

Primary practice address
12 Smith Farm Rd Bedford NY 10506-2030
Phone: (914) 419-3554
Fax: (914) 234-0230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 104042 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 104042 New York

Profile Details

NPI number 1790877603
LBN Legal business name Squillante, Niel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Oct 24th, 2022 - about 3 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 1790877603 NPPES
New York MEDICAID 02663885
New York MEDICAID 00180772

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