National Provider Identifier Database

JEAN M CACCIABAUDO, MD – NPI #1497778930
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

JEAN M CACCIABAUDO, MD
540 UNION BLVD
WEST ISLIP, NY11795-3105
Phone: 631-669-2555
Fax: 631-669-5787
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for JEAN M CACCIABAUDO

NPI Number 1497778930
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 10/01/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 186646
  • NY Medicaid: 01452666
Hospital affiliation n/a

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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