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Contact Information

JAMES CIANCARELLI, DO
5 THE SPOUT
SMITHTOWN, NY11787
 Phone: 631-879-7744
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAMES CIANCARELLI · (Male)

NPI Number 1104279884
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/19/2016
Last updated 09/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 298554
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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