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Contact Information

ANNETTE F RACANIELLO, DO
1 ANDIRON LN
BROOKHAVEN, NY11719-0078
 Phone: 631-286-2355
 Fax: 631-286-6808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANNETTE F RACANIELLO · (Female)

NPI Number 1134116387
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/03/2005
Last updated 05/01/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 157578
  • NY Medicaid 01153048
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
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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