Individual
CHARLES A ANNUNZIATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 FRANKLIN AVE, SUITE 300, GARDEN CITY, NY 11530-2926
(516) 248-6868
(516) 248-6841
Mailing address
1000 FRANKLIN AVE, SUITE 300, GARDEN CITY, NY 11530-2926
(516) 248-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079402
GHI
—
05
—
00819741
—
NY
01
—
11D621
EMPIRE BC/BS
—
Enumeration date
07/15/2005
Last updated
06/08/2012
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