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Individual

DR. ANTHONY JOSEPH GIOVANNIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 HORIZON DRIVE, HUNTINGTON, NY 11743
(631) 920-8058
(631) 920-8165
Mailing address
55 HORIZON DRIVE, HUNTINGTON, NY 11743
(631) 920-8058
(631) 920-8165

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
195696
NY
2084P0800X
Psychiatry Physician
Primary
195696
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01561215
NY
Enumeration date
10/04/2006
Last updated
08/06/2010
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