National Provider Identifier Database

ANTHONY MITAROTONDO, MD – NPI #1790798494
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

ANTHONY MITAROTONDO, MD
101 NICOLLS ROAD
STONY BROOK, NY11794-8460
Phone: 631-444-5400
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for ANTHONY MITAROTONDO

NPI Number 1790798494
Credentials MD
Entity Individual
Enumeration date 08/14/2006
Last updated 04/25/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 128030
  • NY Medicaid: 00670535
  • NY Other: W11401 BC/BS
  • NY Other: WEU091 MEDICARE GROUP HR
  • NY Other: W22111 MEDICARE GROUP SHR
  • NY Other: CF3402 RR MEDICARE
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.

Reviews for ANTHONY MITAROTONDO, MD

There are currently no reviews for ANTHONY MITAROTONDO, MD


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