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Individual

ANTHONY M INTINTOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 547-6392
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 547-6392

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042403
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010042403CT01
ANTHEM BC/BS
CT
01
034SL2
EMPIRE BC/BS
CT
01
042403
CONNECTICARE
CT
01
2V4161
HEALTH NET
CT
01
3561696
AETNA - HMO
CT
01
5343377
CIGNA
CT
01
7080607
AETNA - PPO
CT
01
P00210307
RAILROAD MEDICARE
CT
01
P3346525
OXFORD HEALTH PLANS
CT
01
TIN
UNITED HEALTHCARE
CT
Enumeration date
08/21/2006
Last updated
07/24/2009
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